South Bay Primary Medical Group

LBN: Ciecal Rc Inc
South Bay Primary Medical Group is an health care organization with primary practice located at 769 Medical Center Ct Suite 303, Chula Vista CA 91911-6602. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Ciecal Rc Inc can be contacted via phone (619) 591-9001, or through Polanco, Tracy Lee via phone (619) 591-9001.

Contact Information

Primary practice address
769 Medical Center Ct Suite 303 Chula Vista CA 91911-6602
Phone: (619) 591-9001
Fax: (619) 591-9211
Website:
Map and Directions
Authorized official contact:
Name: Polanco, Tracy Lee Doctor of Medicine (MD)
Phone: (619) 591-9001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A80610 California
Ambulatory Health Care Facilities / Primary Care 261QP2300X A76528 California

Profile Details

NPI number 1942659149
LBN Legal business name Ciecal Rc Inc
DBA Doing business as South Bay Primary Medical Group
Authorized official Polanco, Tracy Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2016
Last updated Nov 16th, 2016 - about 8 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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