Crescent City Internal Medicine

LBN: Crescent City Internal Medicine
Crescent City Internal Medicine is an health care organization with primary practice located at 1771 Northcrest Dr , Crescent City CA 95531-8922. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Crescent City Internal Medicine can be contacted via phone (707) 465-8666, or through Blundell, Matthew C via phone (707) 465-8666.

Contact Information

Primary practice address
1771 Northcrest Dr Crescent City CA 95531-8922
Phone: (707) 465-8666
Fax: (707) 465-8650
Website:
Map and Directions
Authorized official contact:
Name: Blundell, Matthew C Doctor of Medicine (MD)
Phone: (707) 465-8666

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1669468930
LBN Legal business name Crescent City Internal Medicine
DBA Doing business as
Authorized official Blundell, Matthew C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Feb 28th, 2013 - about 11 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 1669468930 NPPES
California MEDICAID GR0087830

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