Progressive Medical Specialists Llc

LBN: Progressive Medical Specialists Llc
Progressive Medical Specialists Llc is an health care organization with primary practice located at 4974 El Cajon Blvd Suite A, San Diego CA 92115-4677. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Progressive Medical Specialists Llc can be contacted via phone (619) 286-4600, or through Boylan, Timothy via phone (619) 286-4600.

Contact Information

Primary practice address
4974 El Cajon Blvd Suite A San Diego CA 92115-4677
Phone: (619) 286-4600
Fax: (319) 286-0060
Website:
Map and Directions
Authorized official contact:
Name: Boylan, Timothy
Phone: (619) 286-4600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 37-19 California

Profile Details

NPI number 1932251550
LBN Legal business name Progressive Medical Specialists Llc
DBA Doing business as
Authorized official Boylan, Timothy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Nov 29th, 2007 - about 18 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 1932251550 NPPES
California Other 8545 MEDI-CAL

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