Mk Jefferson Md Anesthesia Servics, Inc.
LBN: Mk Jefferson Md Anesthesia Servics, Inc.
Mk Jefferson Md Anesthesia Servics, Inc. is an health care organization with primary practice located at 18300 Roscoe Blvd , Northridge CA 91325-4105. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Mk Jefferson Md Anesthesia Servics, Inc. can be contacted via phone (818) 885-8500, or through Jefferson, Michael K. via phone (818) 885-8500.
Contact Information
Primary practice address
18300 Roscoe Blvd
Northridge CA 91325-4105
Phone: (818) 885-8500
Fax:
Website:
Authorized official contact:
Name: Jefferson, Michael K. Doctor of Medicine (MD)
Phone: (818) 885-8500
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G68903C | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G68903C | California |
Profile Details
| NPI number | 1871775783 |
|---|---|
| LBN Legal business name | Mk Jefferson Md Anesthesia Servics, Inc. |
| DBA Doing business as | |
| Authorized official | Jefferson, Michael K. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Dec 3rd, 2007 - about 18 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 | 1871775783 | NPPES |
| California | Other | 00G689030 | BLUE SHIELD |
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