Jack Purdy Md Inc

LBN: Jack Purdy Md Inc
Jack Purdy Md Inc is an health care organization with primary practice located at 17525 Ventura Blvd Ste 203 , Encino CA 91316-5109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Jack Purdy Md Inc can be contacted via phone (818) 986-0200, or through Purdy, Jack C via phone (310) 453-3533.

Contact Information

Primary practice address
17525 Ventura Blvd Ste 203 Encino CA 91316-5109
Phone: (818) 986-0200
Fax: (818) 986-4393
Website:
Map and Directions
Authorized official contact:
Name: Purdy, Jack C Doctor of Medicine (MD)
Phone: (310) 453-3533

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G31387 California

Profile Details

NPI number 1154510899
LBN Legal business name Jack Purdy Md Inc
DBA Doing business as
Authorized official Purdy, Jack C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Feb 26th, 2010 - about 14 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 1154510899 NPPES
California Other G31387 STATE LICENSE

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