James E Bruns Od A Professional

LBN: James E Bruns Od A Professional
James E Bruns Od A Professional is an health care organization with primary practice located at 6180 State Farm Dr , Rohnert Park CA 94928-2135. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. James E Bruns Od A Professional can be contacted via phone (707) 584-7294, or through Bordi, Leslie C via phone (707) 584-7294.

Contact Information

Primary practice address
6180 State Farm Dr Rohnert Park CA 94928-2135
Fax: (707) 584-4728
Website:
Authorized official contact:
Name: Bordi, Leslie C

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X CA5247 California

Profile Details

NPI number 1306112362
LBN Legal business name James E Bruns Od A Professional
DBA Doing business as
Authorized official Bordi, Leslie C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2012
Last updated Dec 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306112362 NPPES
California MEDICAID SD0052470

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