Prisma Care, A Medical Corporation

LBN: Prisma Care, A Medical Corporation
Prisma Care, A Medical Corporation is an health care organization with primary practice located at 2648 Main St Suite #A, Chula Vista CA 91911-4664. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Prisma Care, A Medical Corporation can be contacted via phone (619) 575-5000, or through Lopez, Jose R via phone (619) 575-5000.

Contact Information

Primary practice address
2648 Main St Suite #A Chula Vista CA 91911-4664
Phone: (619) 575-5000
Fax: (619) 575-5060
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Jose R
Phone: (619) 575-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A43301 California

Profile Details

NPI number 1093809139
LBN Legal business name Prisma Care, A Medical Corporation
DBA Doing business as
Authorized official Lopez, Jose R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 15th, 2009 - about 15 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 1093809139 NPPES
California MEDICAID 00A433010

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