Ralph Potkin Md A Medical Corp
LBN: Ralph Potkin Md A Medical Corp
Ralph Potkin Md A Medical Corp is an health care organization with primary practice located at 1125 S Beverly Dr Suite 406, Los Angeles CA 90035-1148. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
Ralph Potkin Md A Medical Corp can be contacted via phone (310) 551-1178, or through Potkin, Ralph T via phone (310) 551-1178.
Contact Information
Primary practice address
1125 S Beverly Dr Suite 406
Los Angeles CA 90035-1148
Phone: (310) 551-1178
Fax: (310) 551-2047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X |
Profile Details
| NPI number | 1215079751 |
|---|---|
| LBN Legal business name | Ralph Potkin Md A Medical Corp |
| DBA Doing business as | |
| Authorized official | Potkin, Ralph T Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Nov 22nd, 2013 - about 11 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 | 1215079751 | NPPES |
| California | MEDICAID | GR0069770 |
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