Jack Gaines A Professional Corp.

LBN: Jack Gaines A Professional Corp.
Jack Gaines A Professional Corp. is an health care organization with primary practice located at 4833 Rubio Ave , Encino CA 91436-1118. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Jack Gaines A Professional Corp. can be contacted via phone (818) 981-4030, or through Gaines, Jack W. via phone (818) 981-4030.

Contact Information

Primary practice address
4833 Rubio Ave Encino CA 91436-1118
Phone: (818) 981-4030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gaines, Jack W. Doctor of Medicine (MD)
Phone: (818) 981-4030

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X C14269 California

Profile Details

NPI number 1619210291
LBN Legal business name Jack Gaines A Professional Corp.
DBA Doing business as
Authorized official Gaines, Jack W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2013
Last updated Apr 1st, 2013 - about 12 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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