Krishnamoorthi M. D. Inc., A Professional Medical Corporation

LBN: Krishnamoorthi M. D. Inc., A Professional Medical Corporation
Krishnamoorthi M. D. Inc., A Professional Medical Corporation is an health care organization with primary practice located at 324 F St , Waterford CA 95386-9013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Krishnamoorthi M. D. Inc., A Professional Medical Corporation can be contacted via phone (209) 874-2321, or through Krishnamoorthi, Krishnamoorthi via phone (209) 874-2321.

Contact Information

Primary practice address
324 F St Waterford CA 95386-9013
Fax: (209) 874-3896
Website:
Authorized official contact:
Name: Krishnamoorthi, Krishnamoorthi Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1316098205
LBN Legal business name Krishnamoorthi M. D. Inc., A Professional Medical Corporation
DBA Doing business as
Authorized official Krishnamoorthi, Krishnamoorthi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Mar 22nd, 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 1316098205 NPPES
California MEDICAID 00A708970
California MEDICAID RHM53829H

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