Retinal Diagnostic Center A Medical Corporation
LBN: Retinal Diagnostic Center A Medical Corporation
Retinal Diagnostic Center A Medical Corporation is an health care organization with primary practice located at 3395 S. Bascom Ave. Suite 140, Campbell CA 95008. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Retinal Diagnostic Center A Medical Corporation can be contacted via phone (408) 559-0666, or through Kelley, Tim via phone (408) 559-0666.
Contact Information
Primary practice address
3395 S. Bascom Ave. Suite 140
Campbell CA 95008
Phone: (408) 559-0666
Fax: (408) 963-5920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C37086 | California |
| Other Service Providers / Specialist | 174400000X | G60723 | California |
| Other Service Providers / Specialist | 174400000X | G83824 | California |
| Other Service Providers / Specialist | 174400000X | A53889 | California |
Profile Details
| NPI number | 1518030568 |
|---|---|
| LBN Legal business name | Retinal Diagnostic Center A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Kelley, Tim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 19th, 2023 - about last year |
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 | 1518030568 | NPPES |
| California | MEDICAID | 00G838240 | |
| California | MEDICAID | 00G607230 | |
| California | MEDICAID | 00C370860 | |
| California | MEDICAID | 00A538890 |
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