Caspian Medical Clinic, Corp

LBN: Caspian Medical Clinic, Corp
Caspian Medical Clinic, Corp is an health care organization with primary practice located at 14103 Victory Blvd Suite 7, Van Nuys CA 91401-1998. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Caspian Medical Clinic, Corp can be contacted via phone (818) 994-0000, or through Ghannadi, Max Mahmoud via phone (818) 994-0000.

Contact Information

Primary practice address
14103 Victory Blvd Suite 7 Van Nuys CA 91401-1998
Fax: (818) 988-2949
Website:
Authorized official contact:
Name: Ghannadi, Max Mahmoud Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A102618 California

Profile Details

NPI number 1275765612
LBN Legal business name Caspian Medical Clinic, Corp
DBA Doing business as
Authorized official Ghannadi, Max Mahmoud Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2009
Last updated Sep 23rd, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275765612 NPPES
California Other A102618 LICENSE

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