Khemara Family Medical Clinic Inc.
LBN: Khemara Family Medical Clinic Inc.
Khemara Family Medical Clinic Inc. is an health care organization with primary practice located at 440 Redondo Ave Ste 201 , Long Beach CA 90814-5145. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Khemara Family Medical Clinic Inc. can be contacted via phone (562) 439-3803, or through Ashok, Nagasamudra S. via phone (562) 439-3803.
Contact Information
Primary practice address
440 Redondo Ave Ste 201
Long Beach CA 90814-5145
Phone: (562) 439-3803
Fax: (866) 593-7781
Website:
Authorized official contact:
Name: Ashok, Nagasamudra S. Doctor of Medicine (MD)
Phone: (562) 439-3803
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A41589 | California |
Profile Details
| NPI number | 1508296146 |
|---|---|
| LBN Legal business name | Khemara Family Medical Clinic Inc. |
| DBA Doing business as | |
| Authorized official | Ashok, Nagasamudra S. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2013 |
| Last updated | Dec 17th, 2013 - about 12 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 | 1508296146 | NPPES |
| California | Other | A41589 | MEDICAL LICENSE |
| California | Other | 10940873 | MEDICAL LICENSE |
| California | Other | ZZZ58486Y | MEDICAL LICENSE |
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