Eastfield Ming Quong

LBN: Eastfield Ming Quong
Eastfield Ming Quong is an health care organization with primary practice located at 209 Lemos Ave , Santa Cruz CA 95060-5114. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Eastfield Ming Quong can be contacted via phone (831) 421-9918, or through Williamson, Kelli via phone (408) 832-0832.

Contact Information

Primary practice address
209 Lemos Ave Santa Cruz CA 95060-5114
Phone: (831) 421-9918
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williamson, Kelli PSYD
Phone: (408) 832-0832

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 20903 California

Profile Details

NPI number 1093881112
LBN Legal business name Eastfield Ming Quong
DBA Doing business as
Authorized official Williamson, Kelli PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1093881112 NPPES
California Other A5480825 DRIVER'S LICENSE

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