Ccs Medical Therapy Program

LBN: Ccs Medical Therapy Program
Ccs Medical Therapy Program is an health care organization with primary practice located at 1959 Princeton St. Room 33, Delano CA 93215-1523. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Ccs Medical Therapy Program can be contacted via phone (661) 725-6452, or through Constantine, Matthew via phone (661) 868-0301.

Contact Information

Primary practice address
1959 Princeton St. Room 33 Delano CA 93215-1523
Phone: (661) 725-6452
Fax: (661) 725-6170
Website:
Map and Directions
Authorized official contact:
Name: Constantine, Matthew
Phone: (661) 868-0301

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X California

Profile Details

NPI number 1780721720
LBN Legal business name Ccs Medical Therapy Program
DBA Doing business as
Authorized official Constantine, Matthew
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 21st, 2022 - about 3 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 1780721720 NPPES
California MEDICAID CCS00112F

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