Life Connect Medical, Inc

LBN: Life Connect Medical, Inc
Life Connect Medical, Inc is an health care organization with primary practice located at 35900 Bob Hope Dr Suite # 100, Rancho Mirage CA 92270-1766. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Life Connect Medical, Inc can be contacted via phone (760) 699-7117, or through Khanchustambahm, Padma via phone (760) 464-2166.

Contact Information

Primary practice address
35900 Bob Hope Dr Suite # 100 Rancho Mirage CA 92270-1766
Phone: (760) 699-7117
Fax: (760) 699-7750
Website:
Map and Directions
Authorized official contact:
Name: Khanchustambahm, Padma Doctor of Medicine (MD)
Phone: (760) 464-2166

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A86478 California

Profile Details

NPI number 1245489384
LBN Legal business name Life Connect Medical, Inc
DBA Doing business as
Authorized official Khanchustambahm, Padma Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2008
Last updated May 3rd, 2016 - about 8 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 1245489384 NPPES
California Other AV186 MEDICARE PTAN

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