Mohammad Kanakriyeh, Md

LBN: Pediatric Cardiology Specialists
Mohammad Kanakriyeh, Md is an health care organization with primary practice located at 399 E. Highland Ave Ste 324, San Bernardino CA 92404. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Pediatric Cardiology Specialists can be contacted via phone (909) 886-5200, or through Stallings, Rebecca Lynn via phone (909) 886-5200.

Contact Information

Primary practice address
399 E. Highland Ave Ste 324 San Bernardino CA 92404
Phone: (909) 886-5200
Fax: (909) 382-9017
Website:
Map and Directions
Authorized official contact:
Name: Stallings, Rebecca Lynn
Phone: (909) 886-5200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 00A425260 California

Profile Details

NPI number 1356541429
LBN Legal business name Pediatric Cardiology Specialists
DBA Doing business as Mohammad Kanakriyeh, Md
Authorized official Stallings, Rebecca Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2007
Last updated Dec 27th, 2016 - about 8 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 1356541429 NPPES
California MEDICAID 1356541429

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