Premier Heart Care Inc

LBN: Kenneth Stevens Md Inc A Medical Corporation
Premier Heart Care Inc is an health care organization with primary practice located at 3231 S Higuera St , San Luis Obispo CA 93401-6924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Kenneth Stevens Md Inc A Medical Corporation can be contacted via phone (805) 540-3333, or through Stevens, Kenneth via phone (805) 540-3333.

Contact Information

Primary practice address
3231 S Higuera St San Luis Obispo CA 93401-6924
Phone: (805) 540-3333
Fax: (805) 540-3344
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Kenneth Doctor of Medicine (MD)
Phone: (805) 540-3333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1265606081
LBN Legal business name Kenneth Stevens Md Inc A Medical Corporation
DBA Doing business as Premier Heart Care Inc
Authorized official Stevens, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2008
Last updated Oct 6th, 2015 - about 9 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 1265606081 NPPES
California Other 05D1083425 CLIA CERTIFICATE OF WAIVER NUMBER
California Other C3092297 CLIA CERTIFICATE OF WAIVER NUMBER
California Other 37534 CLIA CERTIFICATE OF WAIVER NUMBER
California Other DIGIRAD CARDIUS 2XPO CLIA CERTIFICATE OF WAIVER NUMBER
California Other ZZZ53712Y CLIA CERTIFICATE OF WAIVER NUMBER
California Other 106286 CLIA CERTIFICATE OF WAIVER NUMBER

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