Prestige Med Inc
LBN: Prestige Med Inc
Prestige Med Inc is an health care organization with primary practice located at 11030 Bollinger Canyon Rd Ste 240, San Ramon CA 94582-4874. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Prestige Med Inc can be contacted via phone (925) 718-6622, or through Mardanzai, Joseph Y via phone (925) 718-6622.
Contact Information
Primary practice address
11030 Bollinger Canyon Rd Ste 240
San Ramon CA 94582-4874
Phone: (925) 718-6622
Fax: (201) 690-8632
Website:
Authorized official contact:
Name: Mardanzai, Joseph Y Doctor of Medicine (MD)
Phone: (925) 718-6622
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A80856 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A80856 | California |
Profile Details
| NPI number | 1447510789 |
|---|---|
| LBN Legal business name | Prestige Med Inc |
| DBA Doing business as | |
| Authorized official | Mardanzai, Joseph Y Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2012 |
| Last updated | Nov 12th, 2015 - about 9 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 | 1447510789 | NPPES |
| California | Other | GF086A | MEDICARE PTAN |
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