La Vista Norcross Clinic

LBN: La Vista Norcross Clinic
La Vista Norcross Clinic is an health care organization with primary practice located at 2625 Beaver Ruin Rd Ste B , Norcross GA 30071-4136. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. La Vista Norcross Clinic can be contacted via phone (770) 446-2820, or through Sanchez, Juana M via phone (770) 446-2820.

Contact Information

Primary practice address
2625 Beaver Ruin Rd Ste B Norcross GA 30071-4136
Phone: (770) 446-2820
Fax: (770) 446-2868
Website:
Map and Directions
Authorized official contact:
Name: Sanchez, Juana M Doctor of Medicine (MD)
Phone: (770) 446-2820

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 031536 Georgia

Profile Details

NPI number 1841571213
LBN Legal business name La Vista Norcross Clinic
DBA Doing business as
Authorized official Sanchez, Juana M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2011
Last updated Aug 30th, 2011 - about 13 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 1841571213 NPPES
Georgia MEDICAID 043659295A

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