Jasper Division

LBN: Jasper Division
Jasper Division is an health care organization with primary practice located at 9140 Monte Vista Ave , Montclair CA 91763-1723. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Jasper Division can be contacted via phone (909) 624-2774, or through Siregar, Parluhutan Wahab via phone (909) 624-2774.

Contact Information

Primary practice address
9140 Monte Vista Ave Montclair CA 91763-1723
Phone: (909) 624-2774
Fax: (909) 624-6014
Website:
Map and Directions
Authorized official contact:
Name: Siregar, Parluhutan Wahab
Phone: (909) 624-2774

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 240000824 California

Profile Details

NPI number 1912159377
LBN Legal business name Jasper Division
DBA Doing business as
Authorized official Siregar, Parluhutan Wahab
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 16th, 2008
Last updated Oct 16th, 2008 - 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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