San Diego County Medical Services Program

LBN: San Diego County Medical Services Program
San Diego County Medical Services Program is an health care organization with primary practice located at 8840 Complex Dr Suite 300, San Diego CA 92123-1497. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. San Diego County Medical Services Program can be contacted via phone (858) 492-4422, or through Hogan, Terry via phone (619) 515-6555.

Contact Information

Primary practice address
8840 Complex Dr Suite 300 San Diego CA 92123-1497
Phone: (858) 492-4422
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hogan, Terry
Phone: (619) 515-6555

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1417076878
LBN Legal business name San Diego County Medical Services Program
DBA Doing business as
Authorized official Hogan, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1417076878 NPPES
California MEDICAID MIA374017

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