David R Jensen Md A Professional Corporation
LBN: David R Jensen Md A Professional Corporation
David R Jensen Md A Professional Corporation is an health care organization with primary practice located at 3011 Rancho Vista Blvd Suite B-C, Palmdale CA 93551-4821. The organization recently has 7 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Laboratories / Clinical Medical Laboratory, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization, Suppliers / Oxygen Equipment & Supplies, Suppliers / Mail Order Pharmacy. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
David R Jensen Md A Professional Corporation can be contacted via phone (661) 273-2556, or through Jensen, David Richard via phone (661) 273-2556.
Contact Information
Primary practice address
3011 Rancho Vista Blvd Suite B-C
Palmdale CA 93551-4821
Phone: (661) 273-2556
Fax: (661) 267-4847
Website:
Authorized official contact:
Name: Jensen, David Richard Doctor of Medicine (MD)
Phone: (661) 273-2556
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | G044704 | California |
Laboratories / Clinical Medical Laboratory | 291U00000X | G044704 | California |
Managed Care Organizations / Exclusive Provider Organization | 302F00000X | G044704 | California |
Managed Care Organizations / Health Maintenance Organization | 302R00000X | G044704 | California |
Managed Care Organizations / Preferred Provider Organization | 305R00000X | G044704 | California |
Suppliers / Oxygen Equipment & Supplies | 332BX2000X | G044704 | California |
Suppliers / Mail Order Pharmacy | 3336M0002X | G044704 | California |
Profile Details
NPI number | 1518228980 |
---|---|
LBN Legal business name | David R Jensen Md A Professional Corporation |
DBA Doing business as | |
Authorized official | Jensen, David Richard Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 1st, 2012 |
Last updated | Jun 1st, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1518228980 | NPPES |
California | MEDICAID | G044704 |
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