N/A

LBN: N/A
N/A is an health care organization with primary practice located at 4051 Lone Tree Way Ste C , Antioch CA 94531-6204. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. N/A can be contacted via phone (925) 757-2900, or through Martin, Kevin Roland via phone (925) 458-5124.

Contact Information

Primary practice address
4051 Lone Tree Way Ste C Antioch CA 94531-6204
Phone: (925) 757-2900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Kevin Roland
Phone: (925) 458-5124

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 246RP1900X California

Profile Details

NPI number 1194055749
LBN Legal business name N/A
DBA Doing business as
Authorized official Martin, Kevin Roland
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2010
Last updated Jan 4th, 2010 - about 14 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 1194055749 NPPES
California Other 93015226E48032 CA

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