Clinica Medica Internacional, Inc

LBN: Clinica Medica Internacional, Inc
Clinica Medica Internacional, Inc is an health care organization with primary practice located at 7444 Lankershim Blvd , North Hollywood CA 91605-2801. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Clinica Medica Internacional, Inc can be contacted via phone (818) 765-4917, or through Umanzor, Manuel Ernesto via phone (818) 765-4917.

Contact Information

Primary practice address
7444 Lankershim Blvd North Hollywood CA 91605-2801
Phone: (818) 765-4917
Fax: (818) 765-0804
Website:
Map and Directions
Authorized official contact:
Name: Umanzor, Manuel Ernesto Physician Assistant (PA)
Phone: (818) 765-4917

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 00A357301 California

Profile Details

NPI number 1427123504
LBN Legal business name Clinica Medica Internacional, Inc
DBA Doing business as
Authorized official Umanzor, Manuel Ernesto Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Jan 6th, 2011 - about 14 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 1427123504 NPPES
California MEDICAID 00A357301

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