Eastside Diabetes Care Medical Clinic, Inc.
LBN: Eastside Diabetes Care Medical Clinic, Inc.
Eastside Diabetes Care Medical Clinic, Inc. is an health care organization with primary practice located at 5836 E Beverly Blvd , Los Angeles CA 90022-2824. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Health Service. Other Service Providers / Specialist is the primary health care specialty.
Eastside Diabetes Care Medical Clinic, Inc. can be contacted via phone (323) 726-0370, or through Rodriguez, Altagracia A via phone (323) 726-0370.
Contact Information
Primary practice address
5836 E Beverly Blvd
Los Angeles CA 90022-2824
Phone: (323) 726-0370
Fax: (323) 726-0239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A33652 | California |
| Ambulatory Health Care Facilities / Health Service | 261QH0100X | A33652 | California |
Profile Details
| NPI number | 1841500253 |
|---|---|
| LBN Legal business name | Eastside Diabetes Care Medical Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Rodriguez, Altagracia A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Feb 27th, 2015 - about 10 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 | 1841500253 | NPPES |
| California | MEDICAID | 00A336520 | |
| California | Other | 1972600880 |
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