Jeffrey K. Luttrull, M. D. A Professional Corporation

LBN: Jeffrey K. Luttrull, M. D. A Professional Corporation
Jeffrey K. Luttrull, M. D. A Professional Corporation is an health care organization with primary practice located at 3160 Telegraph Rd Ste 230 , Ventura CA 93003-3252. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Jeffrey K. Luttrull, M. D. A Professional Corporation can be contacted via phone (805) 650-0664, or through Luttrull, Jeffrey Kevin via phone (805) 650-0664.

Contact Information

Primary practice address
3160 Telegraph Rd Ste 230 Ventura CA 93003-3252
Fax:
Website:
Authorized official contact:
Name: Luttrull, Jeffrey Kevin

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X California

Profile Details

NPI number 1003084674
LBN Legal business name Jeffrey K. Luttrull, M. D. A Professional Corporation
DBA Doing business as
Authorized official Luttrull, Jeffrey Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2008
Last updated Jul 21st, 2022 - about 2 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 1003084674 NPPES
California Other 7015319 MEDI-CAL

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