San Diego Hospital Based Physicians Medical Association

LBN: San Diego Hospital Based Physicians Medical Association
San Diego Hospital Based Physicians Medical Association is an health care organization with primary practice located at 4077 Fifth Ave , San Diego CA 92103-2105. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. San Diego Hospital Based Physicians Medical Association can be contacted via phone (619) 294-8111, or through Sullivan, Michael via phone (619) 294-8111.

Contact Information

Primary practice address
4077 Fifth Ave San Diego CA 92103-2105
Fax:
Website:
Authorized official contact:
Name: Sullivan, Michael Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1417907882
LBN Legal business name San Diego Hospital Based Physicians Medical Association
DBA Doing business as
Authorized official Sullivan, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417907882 NPPES
California MEDICAID GR0076320

Popular Providers