Emerald Isle Medical Group Inc

LBN: Emerald Isle Medical Group Inc
Emerald Isle Medical Group Inc is an health care organization with primary practice located at 4121 Brockton Ave Ste 104 , Riverside CA 92501-3442. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is the primary health care specialty. Emerald Isle Medical Group Inc can be contacted via phone (951) 778-0032, or through De Silva, Bertrand via phone (714) 444-0440.

Contact Information

Primary practice address
4121 Brockton Ave Ste 104 Riverside CA 92501-3442
Fax:
Website:
Authorized official contact:
Name: De Silva, Bertrand Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A46400 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A46400 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A46400 California
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X A46400 California

Profile Details

NPI number 1063601946
LBN Legal business name Emerald Isle Medical Group Inc
DBA Doing business as
Authorized official De Silva, Bertrand Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Feb 7th, 2020 - about 5 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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