Haven Family Medical Center, Inc.

LBN: Haven Family Medical Center, Inc.
Haven Family Medical Center, Inc. is an health care organization with primary practice located at 8599 Haven Ave Ste 101, Rancho Cucamonga CA 91730-4849. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Haven Family Medical Center, Inc. can be contacted via phone (909) 466-8888, or through Azzawi, Zaher via phone (909) 466-8888.

Contact Information

Primary practice address
8599 Haven Ave Ste 101 Rancho Cucamonga CA 91730-4849
Fax: (909) 483-0164
Website:
Authorized official contact:
Name: Azzawi, Zaher

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X A487430 California

Profile Details

NPI number 1427152834
LBN Legal business name Haven Family Medical Center, Inc.
DBA Doing business as
Authorized official Azzawi, Zaher
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Jan 7th, 2008 - about 16 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 1427152834 NPPES
California Other A487430 BLUE CROSS BLUE SHIELD
California Other 1048460 BLUE CROSS BLUE SHIELD
California Other 1349459 BLUE CROSS BLUE SHIELD

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