San Jose Muiltispecialty Medical Group,Inc
LBN: Jose D Berganza, M.D Inc
San Jose Muiltispecialty Medical Group,Inc is an health care organization with primary practice located at 14514 Ramona Blvd Suite 3, Baldwin Park CA 91706-3305. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Jose D Berganza, M.D Inc can be contacted via phone (626) 337-0424, or through Berganza, Jose Dalio via phone (626) 337-0424.
Contact Information
Primary practice address
14514 Ramona Blvd Suite 3
Baldwin Park CA 91706-3305
Phone: (626) 337-0424
Fax: (626) 813-9095
Website:
Authorized official contact:
Name: Berganza, Jose Dalio Doctor of Medicine (MD)
Phone: (626) 337-0424
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A055611 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A37324 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 524415 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 557547 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A45608 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | PA12379 | California |
Profile Details
| NPI number | 1962560896 |
|---|---|
| LBN Legal business name | Jose D Berganza, M.D Inc |
| DBA Doing business as | San Jose Muiltispecialty Medical Group,Inc |
| Authorized official | Berganza, Jose Dalio Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jan 9th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962560896 | NPPES |
| California | MEDICAID | GR0080790 |
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