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
Fax: (661) 267-4847
Website:
Authorized official contact:
Name: Jensen, David Richard Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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 12 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 1518228980 NPPES
California MEDICAID G044704

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