P.C. Medical Clinic

LBN: P.C. Medical Clinic
P.C. Medical Clinic is an health care organization with primary practice located at 631 E Colorado St Suite C, Glendale CA 91205. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. P.C. Medical Clinic can be contacted via phone (818) 507-8181, or through Gold, Marina via phone (818) 507-8181.

Contact Information

Primary practice address
631 E Colorado St Suite C Glendale CA 91205
Phone: (818) 507-8181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gold, Marina Doctor of Medicine (MD)
Phone: (818) 507-8181

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1861872566
LBN Legal business name P.C. Medical Clinic
DBA Doing business as
Authorized official Gold, Marina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2015
Last updated Jun 8th, 2015 - about 9 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 1861872566 NPPES
California MEDICAID 1508900887
California MEDICAID 1003102856

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