De Anza Clinic

LBN: Mervat Kelada M.D. A Medical Corp
De Anza Clinic is an health care organization with primary practice located at 1001 Blair Ave , Calexico CA 92231-2308. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Mervat Kelada M.D. A Medical Corp can be contacted via phone (760) 562-6633, or through Kelada, Mervat G. via phone (760) 562-6633.

Contact Information

Primary practice address
1001 Blair Ave Calexico CA 92231-2308
Phone: (760) 562-6633
Fax: (760) 768-5037
Website:
Map and Directions
Authorized official contact:
Name: Kelada, Mervat G. Doctor of Medicine (MD)
Phone: (760) 562-6633

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1356524599
LBN Legal business name Mervat Kelada M.D. A Medical Corp
DBA Doing business as De Anza Clinic
Authorized official Kelada, Mervat G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Mar 11th, 2008 - about 17 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 1356524599 NPPES
California MEDICAID RHM53866F

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