Cassidy Medical Group - Sw
LBN: Cassidy Medical Group - Sw
Cassidy Medical Group - Sw is an health care organization with primary practice located at 2095 W Vista Way Ste 218 , Vista CA 92083-6029. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Cassidy Medical Group - Sw can be contacted via phone (760) 630-3562, or through Krueger, Judith M via phone (760) 630-5487.
Contact Information
Primary practice address
2095 W Vista Way Ste 218
Vista CA 92083-6029
Phone: (760) 630-3562
Fax: (760) 630-2559
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
NPI number | 1093882359 |
---|---|
LBN Legal business name | Cassidy Medical Group - Sw |
DBA Doing business as | |
Authorized official | Krueger, Judith M |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Nov 29th, 2006 |
Last updated | Oct 13th, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093882359 | NPPES |
California | Other | 3016 | NEIC SITE ID, NSF BA0-7 |
California | MEDICAID | GROO60602 | NEIC SITE ID, NSF BA0-7 |
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