Carolyn E. Wylie Center

LBN: Carolyn E. Wylie Center
Carolyn E. Wylie Center is an health care organization with primary practice located at 4164 Brockton Ave , Riverside CA 92501-3400. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Carolyn E. Wylie Center can be contacted via phone (951) 683-5193, or through Robinson, Mickey via phone (951) 683-5193.

Contact Information

Primary practice address
4164 Brockton Ave Riverside CA 92501-3400
Phone: (951) 683-5193
Fax: (951) 683-6019
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Mickey
Phone: (951) 683-5193

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 60910 California

Profile Details

NPI number 1972838670
LBN Legal business name Carolyn E. Wylie Center
DBA Doing business as
Authorized official Robinson, Mickey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2009
Last updated May 17th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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