Ketchum Health Medical Clinic

LBN: Marshall B. Ketchum University
Ketchum Health Medical Clinic is an health care organization with primary practice located at 5460 E La Palma Ave , Anaheim CA 92807-2023. The organization recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Marshall B. Ketchum University can be contacted via phone (714) 463-7500, or through Grove, Brandon via phone (714) 992-7818.

Contact Information

Primary practice address
5460 E La Palma Ave Anaheim CA 92807-2023
Phone: (714) 463-7500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grove, Brandon Doctor of Medicine (MD)
Phone: (714) 992-7818

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1174037493
LBN Legal business name Marshall B. Ketchum University
DBA Doing business as Ketchum Health Medical Clinic
Authorized official Grove, Brandon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2017
Last updated Jan 18th, 2024 - about 11 months 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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