Foothill Surgical Specialists Medical Group

LBN: Foothill Surgical Specialists Medical Group
Foothill Surgical Specialists Medical Group is an health care organization with primary practice located at 1560 E. Chevy Chase Dr. Suite 430, Glendale CA 91206-4197. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Foothill Surgical Specialists Medical Group can be contacted via phone (818) 243-1135, or through Carvajal, Samuel H. via phone (818) 243-1135.

Contact Information

Primary practice address
1560 E. Chevy Chase Dr. Suite 430 Glendale CA 91206-4197
Phone: (818) 243-1135
Fax: (818) 243-9332
Website:
Map and Directions
Authorized official contact:
Name: Carvajal, Samuel H. Doctor of Medicine (MD)
Phone: (818) 243-1135

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1760525752
LBN Legal business name Foothill Surgical Specialists Medical Group
DBA Doing business as
Authorized official Carvajal, Samuel H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Jan 8th, 2014 - about 11 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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