Epiphany360
LBN: Healthsmith Medical Inc
Epiphany360 is an health care organization with primary practice located at 9808 Venice Blvd Ph , Culver City CA 90232-2732. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Healthsmith Medical Inc can be contacted via phone (604) 803-8513, or through Ocana, Antonio Martn via phone (604) 803-8513.
Contact Information
Primary practice address
9808 Venice Blvd Ph
Culver City CA 90232-2732
Phone: (604) 803-8513
Fax: (778) 945-2778
Website:
Authorized official contact:
Name: Ocana, Antonio Martn Doctor of Medicine (MD)
Phone: (604) 803-8513
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1528683604 |
|---|---|
| LBN Legal business name | Healthsmith Medical Inc |
| DBA Doing business as | Epiphany360 |
| Authorized official | Ocana, Antonio Martn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2020 |
| Last updated | Apr 6th, 2023 - about last year |
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 | 1528683604 | NPPES |
| California | MEDICAID | 810150870 |
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