La Sierra Medical Corp

LBN: La Sierra Medical Corp
La Sierra Medical Corp is an health care organization with primary practice located at 4712B La Sierra Ave , Riverside CA 92505-2726. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. La Sierra Medical Corp can be contacted via phone (951) 324-8100, or through Mbagwu, Chidozie Constance via phone (951) 324-8100.

Contact Information

Primary practice address
4712B La Sierra Ave Riverside CA 92505-2726
Phone: (951) 324-8100
Fax: (951) 324-8103
Website:
Map and Directions
Authorized official contact:
Name: Mbagwu, Chidozie Constance Doctor of Medicine (MD)
Phone: (951) 324-8100

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X A513990 California

Profile Details

NPI number 1164527271
LBN Legal business name La Sierra Medical Corp
DBA Doing business as
Authorized official Mbagwu, Chidozie Constance Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1164527271 NPPES
California MEDICAID GR0100940

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