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:
Map and Directions
Authorized official contact:
Name: Berganza, Jose Dalio Doctor of Medicine (MD)
Phone: (626) 337-0424

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962560896 NPPES
California MEDICAID GR0080790

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