Los Ninos Children Medical Clinic Inc.

LBN: Los Ninos Children Medical Clinic Inc.
Los Ninos Children Medical Clinic Inc. is an health care organization with primary practice located at 409 E Merced Ave Suite A, West Covina CA 91790-5061. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Los Ninos Children Medical Clinic Inc. can be contacted via phone (626) 931-0901, or through Dominguez, Emil R via phone (626) 850-5005.

Contact Information

Primary practice address
409 E Merced Ave Suite A West Covina CA 91790-5061
Phone: (626) 931-0901
Fax: (626) 931-0905
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Emil R Doctor of Medicine (MD)
Phone: (626) 850-5005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A43966 California

Profile Details

NPI number 1700115722
LBN Legal business name Los Ninos Children Medical Clinic Inc.
DBA Doing business as
Authorized official Dominguez, Emil R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2009
Last updated Dec 22nd, 2009 - about 16 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 1700115722 NPPES
California MEDICAID 00A439660

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