Pacific Gynecologic Specialists

LBN: Pacific Gynecologic Specialists
Pacific Gynecologic Specialists is an health care organization with primary practice located at 181 South Buena Vista Street 3Rd Floor, Burbank CA 91505-1204. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as the primary health care specialty. Pacific Gynecologic Specialists can be contacted via phone (818) 847-4436, or through Friedman, Richard Lee via phone (818) 847-4436.

Contact Information

Primary practice address
181 South Buena Vista Street 3Rd Floor Burbank CA 91505-1204
Fax: (818) 847-4432
Website:
Authorized official contact:
Name: Friedman, Richard Lee Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X GR0103810 California

Profile Details

NPI number 1609074806
LBN Legal business name Pacific Gynecologic Specialists
DBA Doing business as
Authorized official Friedman, Richard Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2007
Last updated Aug 9th, 2011 - about 13 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 1609074806 NPPES
California MEDICAID GR0103810

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