Provident Anesthesia Medical Group Inc
LBN: Provident Anesthesia Medical Group Inc
Provident Anesthesia Medical Group Inc is an health care organization with primary practice located at 7300 Medical Ctr , West Hills CA 91307-1902. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty.
Provident Anesthesia Medical Group Inc can be contacted via phone (818) 550-0900, or through Herbert, A Joseph via phone (818) 550-0900.
Contact Information
Primary practice address
7300 Medical Ctr
West Hills CA 91307-1902
Phone: (818) 550-0900
Fax: (505) 293-1524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | G46241 | California |
Profile Details
| NPI number | 1063554798 |
|---|---|
| LBN Legal business name | Provident Anesthesia Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Herbert, A Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Mar 27th, 2024 - about 9 months 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 | 1063554798 | NPPES |
| California | Other | ZZZ56463Z | BLUE SHIELD |
| California | MEDICAID | GR0083620 | BLUE SHIELD |
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