Marlboro Cancer Screening Center Inc

LBN: Marlboro Cancer Screening Center Inc
Marlboro Cancer Screening Center Inc is an health care organization with primary practice located at 11340 Mountain View Ave Ste B , Loma Linda CA 92354-3858. The organization recently has only one registered license in Ambulatory Health Care Facilities / Genetics, which is considered as the primary health care specialty. Marlboro Cancer Screening Center Inc can be contacted via phone (888) 267-9605, or through Gomer, Dharmakumar Wilson via phone (909) 799-5445.

Contact Information

Primary practice address
11340 Mountain View Ave Ste B Loma Linda CA 92354-3858
Fax: (909) 334-1314
Website:
Authorized official contact:
Name: Gomer, Dharmakumar Wilson Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Genetics 261QG0250X

Profile Details

NPI number 1235797044
LBN Legal business name Marlboro Cancer Screening Center Inc
DBA Doing business as Marlboro Cancer Screening Center Inc
Authorized official Gomer, Dharmakumar Wilson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2019
Last updated Sep 17th, 2019 - about 6 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 1235797044 NPPES
California MEDICAID CA361389

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