Clinica Medica Centro Hispano Inc

LBN: Clinica Medica Centro Hispano Inc
Clinica Medica Centro Hispano Inc is an health care organization with primary practice located at 360 E 7Th St Ste H , Upland CA 91786-6701. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Clinica Medica Centro Hispano Inc can be contacted via phone (909) 985-8031, or through Domingo, Miguel I via phone (909) 467-1445.

Contact Information

Primary practice address
360 E 7Th St Ste H Upland CA 91786-6701
Fax: (909) 985-8182
Website:
Authorized official contact:
Name: Domingo, Miguel I Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A53766 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A53766 California

Profile Details

NPI number 1730360579
LBN Legal business name Clinica Medica Centro Hispano Inc
DBA Doing business as
Authorized official Domingo, Miguel I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2007
Last updated Sep 14th, 2023 - about last year

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 1730360579 NPPES
California Other ZZZ53072Y BLUE SHIELD
California MEDICAID 1730360579 BLUE SHIELD

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