Hernandez & Grady A Medical Corporation

LBN: Hernandez & Grady A Medical Corporation
Hernandez & Grady A Medical Corporation is an health care organization with primary practice located at 1850 Sullivan Ave #300, Daly City CA 94015. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Hernandez & Grady A Medical Corporation can be contacted via phone (650) 991-3064, or through Hernandez, Raul via phone (650) 991-3064.

Contact Information

Primary practice address
1850 Sullivan Ave #300 Daly City CA 94015
Phone: (650) 991-3064
Fax: (650) 756-6610
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Raul Doctor of Medicine (MD)
Phone: (650) 991-3064

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G673420 California
Allopathic & Osteopathic Physicians / Urology 208800000X A605230 California

Profile Details

NPI number 1538265681
LBN Legal business name Hernandez & Grady A Medical Corporation
DBA Doing business as
Authorized official Hernandez, Raul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Nov 19th, 2007 - about 17 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 1538265681 NPPES
California Other ZZZ05676Z BLUE SHIELD
California MEDICAID GR0060000 BLUE SHIELD

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