Circle Of Life Medicine, Inc

LBN: Circle Of Life Medicine, Inc
Circle Of Life Medicine, Inc is an health care organization with primary practice located at 2382 Maritime Dr #100, Elk Grove CA 95758-3639. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Circle Of Life Medicine, Inc can be contacted via phone (916) 691-6622, or through Frei, Jeannette I via phone (916) 691-6622.

Contact Information

Primary practice address
2382 Maritime Dr #100 Elk Grove CA 95758-3639
Fax: (916) 691-6629
Website:
Authorized official contact:
Name: Frei, Jeannette I Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A608670 California

Profile Details

NPI number 1306083118
LBN Legal business name Circle Of Life Medicine, Inc
DBA Doing business as
Authorized official Frei, Jeannette I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2009
Last updated Jan 15th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306083118 NPPES
California MEDICAID 00A608670

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