Broadway Medical Clinic

LBN: Jimi O. Benson Md., Inc
Broadway Medical Clinic is an health care organization with primary practice located at 1351 Broadway , El Cajon CA 92021-5811. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Jimi O. Benson Md., Inc can be contacted via phone (619) 383-6703, or through Benson, Jimi Ola via phone (301) 466-1078.

Contact Information

Primary practice address
1351 Broadway El Cajon CA 92021-5811
Phone: (619) 383-6703
Fax: (866) 473-3324
Website:
Map and Directions
Authorized official contact:
Name: Benson, Jimi Ola Doctor of Medicine (MD)
Phone: (301) 466-1078

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A116611 California

Profile Details

NPI number 1275936270
LBN Legal business name Jimi O. Benson Md., Inc
DBA Doing business as Broadway Medical Clinic
Authorized official Benson, Jimi Ola Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2014
Last updated Feb 7th, 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 1275936270 NPPES
California MEDICAID 1477751667
California MEDICAID 1275936270

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