Physician Partner

LBN: Rebel Distribution Corp
Physician Partner is an health care organization with primary practice located at 3607 Old Conejo Rd , Thousand Oaks CA 91320-2123. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Rebel Distribution Corp can be contacted via phone (805) 375-0800, or through Setser, Destry via phone (805) 375-0800.

Contact Information

Primary practice address
3607 Old Conejo Rd Thousand Oaks CA 91320-2123
Phone: (805) 375-0800
Fax: (805) 375-0885
Website:
Map and Directions
Authorized official contact:
Name: Setser, Destry
Phone: (805) 375-0800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X WLS3004 California

Profile Details

NPI number 1023029535
LBN Legal business name Rebel Distribution Corp
DBA Doing business as Physician Partner
Authorized official Setser, Destry
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 15th, 2009 - about 16 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 1023029535 NPPES
Other 5623029 NCPDP PROVIDER IDENTIFICATION NUMBER

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