San Diego American Indian Health Center

LBN: San Diego American Indian Health Center
San Diego American Indian Health Center is an health care organization with primary practice located at 2630 1St Ave , San Diego CA 92103-6599. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Dental Providers / Dentist, Dental Providers / General Practice, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. San Diego American Indian Health Center can be contacted via phone (619) 234-2158, or through Bulfer, Joseph via phone (619) 234-2158.

Contact Information

Primary practice address
2630 1St Ave San Diego CA 92103-6599
Fax: (619) 234-0206
Website:
Authorized official contact:
Name: Bulfer, Joseph

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LCS23330 California
Behavioral Health & Social Service Providers / Social Worker 104100000X LCS17413 California
Dental Providers / Dentist 122300000X 57514 California
Dental Providers / General Practice 1223G0001X 58278 California
Other Service Providers / Specialist 174400000X G23820A California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A78887 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A107921 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20936 California

Profile Details

NPI number 1003902917
LBN Legal business name San Diego American Indian Health Center
DBA Doing business as
Authorized official Bulfer, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Apr 18th, 2014 - about 10 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 1003902917 NPPES
California MEDICAID FHC70019F
California MEDICAID BCP70019F
California MEDICAID EAPC70019F
California MEDICAID HAP70019F

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