Cassidy Medical Group - Csb

LBN: Cassidy Medical Group - Csb
Cassidy Medical Group - Csb is an health care organization with primary practice located at 2562 State St Ste D , Carlsbad CA 92008-1663. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Cassidy Medical Group - Csb can be contacted via phone (760) 729-7186, or through Krueger, Judith M via phone (760) 630-5487.

Contact Information

Primary practice address
2562 State St Ste D Carlsbad CA 92008-1663
Phone: (760) 729-7186
Fax: (760) 729-2753
Website:
Map and Directions
Authorized official contact:
Name: Krueger, Judith M
Phone: (760) 630-5487

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1457427668
LBN Legal business name Cassidy Medical Group - Csb
DBA Doing business as
Authorized official Krueger, Judith M
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2006
Last updated Mar 14th, 2008 - about 16 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 1457427668 NPPES
California Other 3023 NEIC SITE ID, NSF BA0-7
California MEDICAID GR0060603 NEIC SITE ID, NSF BA0-7

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