Conservative Care Specialists Medical Group Inc

LBN: Conservative Care Specialists Medical Group Inc
Conservative Care Specialists Medical Group Inc is an health care organization with primary practice located at 6815 Noble Ave Suite 105, Van Nuys CA 91405. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Conservative Care Specialists Medical Group Inc can be contacted via phone (818) 781-6684, or through Hymes, Jayson A. via phone (818) 781-6684.

Contact Information

Primary practice address
6815 Noble Ave Suite 105 Van Nuys CA 91405
Fax: (818) 781-4457
Website:
Authorized official contact:
Name: Hymes, Jayson A. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G056728 California

Profile Details

NPI number 1861539280
LBN Legal business name Conservative Care Specialists Medical Group Inc
DBA Doing business as
Authorized official Hymes, Jayson A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 1st, 2007
Last updated May 20th, 2020 - about 4 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 1861539280 NPPES
California MEDICAID GR0065790

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