Delta Heart & Medical Clinic, Inc.
LBN: Delta Heart & Medical Clinic, Inc.
Delta Heart & Medical Clinic, Inc. is an health care organization with primary practice located at 1801 E March Ln A-170, Stockton CA 95210-6629. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is the primary health care specialty.
Delta Heart & Medical Clinic, Inc. can be contacted via phone (209) 951-9884, or through Olowoyeye, Bunmi via phone (209) 951-9884.
Contact Information
Primary practice address
1801 E March Ln A-170
Stockton CA 95210-6629
Phone: (209) 951-9884
Fax: (209) 951-7873
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A48005 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | A48005 | California |
Profile Details
| NPI number | 1013030006 |
|---|---|
| LBN Legal business name | Delta Heart & Medical Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Olowoyeye, Bunmi |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Oct 29th, 2008 - about 17 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 | 1013030006 | NPPES |
| Other | DC3822 | RAILROAD MEDICARE PIN | |
| Other | OOA480050 | RAILROAD MEDICARE PIN | |
| MEDICAID | 00A480050 | RAILROAD MEDICARE PIN | |
| Other | 037196 | RAILROAD MEDICARE PIN | |
| MEDICAID | 6923038 | RAILROAD MEDICARE PIN | |
| Other | ZZZ64420Z | RAILROAD MEDICARE PIN |
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