Penny R. Vandestreek Do, Inc.
LBN: Penny R. Vandestreek Do, Inc.
Penny R. Vandestreek Do, Inc. is an health care organization with primary practice located at 1 Medical Plaza Dr Att Nuclear Medicine, Roseville CA 95661-3037. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, which is considered as the primary health care specialty.
Penny R. Vandestreek Do, Inc. can be contacted via phone (916) 781-1292, or through Vandestreek, Penny R via phone (916) 781-1292.
Contact Information
Primary practice address
1 Medical Plaza Dr Att Nuclear Medicine
Roseville CA 95661-3037
Phone: (916) 781-1292
Fax: (916) 663-9912
Website:
Authorized official contact:
Name: Vandestreek, Penny R Doctor of Osteopathy (DO)
Phone: (916) 781-1292
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 20A6232 | California |
Profile Details
| NPI number | 1558540526 |
|---|---|
| LBN Legal business name | Penny R. Vandestreek Do, Inc. |
| DBA Doing business as | |
| Authorized official | Vandestreek, Penny R Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2007 |
| Last updated | Jun 30th, 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 | 1558540526 | NPPES |
| California | MEDICAID | 00AX62320 | |
| California | Other | P00017739 |
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