Juan C. Deza, Inc

LBN: Juan C. Deza, Inc
Juan C. Deza, Inc is an health care organization with primary practice located at 4002 Vista Way , Oceanside CA 92056-4506. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Juan C. Deza, Inc can be contacted via phone (760) 439-6581, or through Deza, Juan via phone (760) 439-6581.

Contact Information

Primary practice address
4002 Vista Way Oceanside CA 92056-4506
Phone: (760) 439-6581
Fax: (760) 439-6585
Website:
Map and Directions
Authorized official contact:
Name: Deza, Juan Doctor of Medicine (MD)
Phone: (760) 439-6581

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1578552279
LBN Legal business name Juan C. Deza, Inc
DBA Doing business as
Authorized official Deza, Juan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 17th, 2005
Last updated Mar 25th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578552279 NPPES
California Other A45058 LICENSE NUMBER
California MEDICAID 00A450580 LICENSE NUMBER

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