Dba: Pediatric Associates
LBN: Pa Medical Group Inc
Dba: Pediatric Associates is an health care organization with primary practice located at 2577 Samaritan Dr Suite 830, San Jose CA 95124-4100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Pa Medical Group Inc can be contacted via phone (408) 356-1319, or through Drucker, Bryan J via phone (408) 356-1319.
Contact Information
Primary practice address
2577 Samaritan Dr Suite 830
San Jose CA 95124-4100
Phone: (408) 356-1319
Fax: (408) 356-6296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1134279904 |
|---|---|
| LBN Legal business name | Pa Medical Group Inc |
| DBA Doing business as | Dba: Pediatric Associates |
| Authorized official | Drucker, Bryan J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 16th, 2008 - about 16 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 | 1134279904 | NPPES |
| California | Other | A70876 | STATE LICENSE |
| California | Other | G84517 | STATE LICENSE |
| California | Other | G77403 | STATE LICENSE |
| California | Other | A64948 | STATE LICENSE |
| California | Other | A51788 | STATE LICENSE |
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