Pacific Brain & Spine Med Grp Inc

LBN: Pacific Brain & Spine Med Grp Inc
Pacific Brain & Spine Med Grp Inc is an health care organization with primary practice located at 20055 Lake Chabot Rd # 110, Castro Valley CA 94546. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Pacific Brain & Spine Med Grp Inc can be contacted via phone (510) 886-3138, or through Randall, Jeffrey Blaine via phone (510) 886-3138.

Contact Information

Primary practice address
20055 Lake Chabot Rd # 110 Castro Valley CA 94546
Fax: (510) 373-1616
Website:
Authorized official contact:
Name: Randall, Jeffrey Blaine Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1023075678
LBN Legal business name Pacific Brain & Spine Med Grp Inc
DBA Doing business as
Authorized official Randall, Jeffrey Blaine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 22nd, 2020 - about 4 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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