John Videen Md,Inc

LBN: John Videen Md,Inc
John Videen Md,Inc is an health care organization with primary practice located at 752 Medical Center Ct Suite 210, Chula Vista CA 91911-6658. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. John Videen Md,Inc can be contacted via phone (619) 421-3361, or through Reyes, Teresa via phone (619) 316-9142.

Contact Information

Primary practice address
752 Medical Center Ct Suite 210 Chula Vista CA 91911-6658
Phone: (619) 421-3361
Fax: (619) 656-8936
Website:
Map and Directions
Authorized official contact:
Name: Reyes, Teresa
Phone: (619) 316-9142

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G59271 California

Profile Details

NPI number 1891893848
LBN Legal business name John Videen Md,Inc
DBA Doing business as
Authorized official Reyes, Teresa
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 1st, 2010 - about 15 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 1891893848 NPPES
California MEDICAID 00G592710

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