Grossmont Medical Clinic A Professional Corporation
LBN: Grossmont Medical Clinic A Professional Corporation
Grossmont Medical Clinic A Professional Corporation is an health care organization with primary practice located at 8851 Center Dr Suite 408, La Mesa CA 91942-3017. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Grossmont Medical Clinic A Professional Corporation can be contacted via phone (619) 589-8626, or through Webb, John R via phone (619) 589-8626.
Contact Information
Primary practice address
8851 Center Dr Suite 408
La Mesa CA 91942-3017
Phone: (619) 589-8626
Fax: (619) 589-8864
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
NPI number | 1508967662 |
---|---|
LBN Legal business name | Grossmont Medical Clinic A Professional Corporation |
DBA Doing business as | |
Authorized official | Webb, John R Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Jun 21st, 2018 - about 6 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 | 1508967662 | NPPES |
California | MEDICAID | GR0053450 | |
California | Other | ZZZ34565Z |
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