Pavel V Petrik Medical Corporation
LBN: Pavel V Petrik Medical Corporation
Pavel V Petrik Medical Corporation is an health care organization with primary practice located at 44725 10Th St W Ste 120 , Lancaster CA 93534-3051. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Pavel V Petrik Medical Corporation can be contacted via phone (661) 522-3256, or through Petrik, Pavel V via phone (661) 522-3256.
Contact Information
Primary practice address
44725 10Th St W Ste 120
Lancaster CA 93534-3051
Phone: (661) 522-3256
Fax: (661) 940-0206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | A74861 | California |
Profile Details
| NPI number | 1598247991 |
|---|---|
| LBN Legal business name | Pavel V Petrik Medical Corporation |
| DBA Doing business as | |
| Authorized official | Petrik, Pavel V Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2018 |
| Last updated | Dec 9th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598247991 | NPPES |
| California | Other | 74861 | CA MEDICAL LICENSE |
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