D Starks Md Incorporated

LBN: D Starks Md Incorporated
D Starks Md Incorporated is an health care organization with primary practice located at 5153 Holt Blvd Suite B-2, Montclair CA 91763-4837. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. D Starks Md Incorporated can be contacted via phone (909) 625-0661, or through Starks, D'Mitri via phone (909) 625-0661.

Contact Information

Primary practice address
5153 Holt Blvd Suite B-2 Montclair CA 91763-4837
Phone: (909) 625-0661
Fax: (909) 625-7761
Website:
Map and Directions
Authorized official contact:
Name: Starks, D'Mitri Doctor of Medicine (MD)
Phone: (909) 625-0661

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X G49823 California

Profile Details

NPI number 1154555795
LBN Legal business name D Starks Md Incorporated
DBA Doing business as
Authorized official Starks, D'Mitri Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2009
Last updated May 12th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154555795 NPPES
California MEDICAID 00G498230

Popular Providers