Lt Proactive Care Clinic

LBN: Lt Proactive Care Clinic California, Pa
Lt Proactive Care Clinic is an health care organization with primary practice located at 1435 East Roseville Pkwy , Roseville CA 95661. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Lt Proactive Care Clinic California, Pa can be contacted via phone (916) 472-2057, or through Farbakhsh, Kambiz via phone (952) 541-7157.

Contact Information

Primary practice address
1435 East Roseville Pkwy Roseville CA 95661
Phone: (916) 472-2057
Fax: (916) 472-2058
Website:
Map and Directions
Authorized official contact:
Name: Farbakhsh, Kambiz Doctor of Medicine (MD)
Phone: (952) 541-7157

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1801266499
LBN Legal business name Lt Proactive Care Clinic California, Pa
DBA Doing business as Lt Proactive Care Clinic
Authorized official Farbakhsh, Kambiz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2015
Last updated Sep 25th, 2015 - about 10 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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