M. Jay Porcelli Do A Medical Corporation
LBN: M. Jay Porcelli Do A Medical Corporation
M. Jay Porcelli Do A Medical Corporation is an health care organization with primary practice located at 336 Ervilla St , Pomona CA 91767-3016. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty.
M. Jay Porcelli Do A Medical Corporation can be contacted via phone (909) 620-1955, or through Porcelli, Martin Jay via phone (909) 620-1955.
Contact Information
Primary practice address
336 Ervilla St
Pomona CA 91767-3016
Phone: (909) 620-1955
Fax: (909) 623-0720
Website:
Authorized official contact:
Name: Porcelli, Martin Jay Doctor of Osteopathy (DO)
Phone: (909) 620-1955
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 20A4403 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 20A4403 | California |
Profile Details
| NPI number | 1679998694 |
|---|---|
| LBN Legal business name | M. Jay Porcelli Do A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Porcelli, Martin Jay Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2014 |
| Last updated | Mar 11th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679998694 | NPPES |
| California | MEDICAID | 20A4403 |
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