Leo Tanaka Md Inc

LBN: Leo Tanaka Md Inc
Leo Tanaka Md Inc is an health care organization with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. Leo Tanaka Md Inc can be contacted via phone (619) 740-6000, or through Tanaka, Hideaki L via phone (425) 830-0884.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942-3019
Phone: (619) 740-6000
Fax: (619) 740-4380
Website:
Map and Directions
Authorized official contact:
Name: Tanaka, Hideaki L Doctor of Medicine (MD)
Phone: (425) 830-0884

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X

Profile Details

NPI number 1497489447
LBN Legal business name Leo Tanaka Md Inc
DBA Doing business as
Authorized official Tanaka, Hideaki L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2022
Last updated Jul 19th, 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 1497489447 NPPES
California MEDICAID 1124280730

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