Debalzo Elgudin Levine Risen Llc

LBN: Debalzo Elgudin Levine Risen Llc
Debalzo Elgudin Levine Risen Llc is an health care organization with primary practice located at 23425 Commerce Park Suite 104, Beachwood OH 44122-5844. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Debalzo Elgudin Levine Risen Llc can be contacted via phone (216) 831-2900, or through Elgudin, Larissa via phone (216) 831-2900.

Contact Information

Primary practice address
23425 Commerce Park Suite 104 Beachwood OH 44122-5844
Phone: (216) 831-2900
Fax: (216) 831-4306
Website:
Map and Directions
Authorized official contact:
Name: Elgudin, Larissa Doctor of Medicine (MD)
Phone: (216) 831-2900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1396286191
LBN Legal business name Debalzo Elgudin Levine Risen Llc
DBA Doing business as
Authorized official Elgudin, Larissa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2017
Last updated Mar 13th, 2017 - about 8 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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