El Dorado-Palmdale

LBN: El Dorado Community Service Centers
El Dorado-Palmdale is an health care organization with primary practice located at 2720 E Palmdale Blvd Ste 129-131 , Palmdale CA 93550-4930. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. El Dorado Community Service Centers can be contacted via phone (661) 947-3333, or through Tapia, Manuel via phone (661) 254-6630.

Contact Information

Primary practice address
2720 E Palmdale Blvd Ste 129-131 Palmdale CA 93550-4930
Phone: (661) 947-3333
Fax: (661) 575-2397
Website:
Map and Directions
Authorized official contact:
Name: Tapia, Manuel
Phone: (661) 254-6630

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 960001031 California

Profile Details

NPI number 1568531036
LBN Legal business name El Dorado Community Service Centers
DBA Doing business as El Dorado-Palmdale
Authorized official Tapia, Manuel
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Sep 24th, 2018 - about 7 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 1568531036 NPPES
California MEDICAID 6905
California MEDICAID HDC70053F
California MEDICAID CMM70729F

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