Medicus Vip

LBN: Kenley Emergency Medicine Corporation
Medicus Vip is an health care organization with primary practice located at 100 N Wiget Ln Ste 200 , Walnut Creek CA 94598-5901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Kenley Emergency Medicine Corporation can be contacted via phone (773) 632-7244, or through Kenley, Eric S via phone (773) 632-7244.

Contact Information

Primary practice address
100 N Wiget Ln Ste 200 Walnut Creek CA 94598-5901
Phone: (773) 632-7244
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kenley, Eric S Doctor of Medicine (MD)
Phone: (773) 632-7244

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X A100640 California

Profile Details

NPI number 1396261582
LBN Legal business name Kenley Emergency Medicine Corporation
DBA Doing business as Medicus Vip
Authorized official Kenley, Eric S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2017
Last updated Jul 21st, 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 1396261582 NPPES
California MEDICAID 1194847475

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