San Fernando Valley Pulmonary Medical Group, Inc.

LBN: San Fernando Valley Pulmonary Medical Group, Inc.
San Fernando Valley Pulmonary Medical Group, Inc. is an health care organization with primary practice located at 18399 Ventura Blvd Suite 245, Tarzana CA 91356-4233. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. San Fernando Valley Pulmonary Medical Group, Inc. can be contacted via phone (818) 609-7536, or through Ence, Thomas Jenkins via phone (818) 609-7536.

Contact Information

Primary practice address
18399 Ventura Blvd Suite 245 Tarzana CA 91356-4233
Fax: (818) 344-9670
Website:
Authorized official contact:
Name: Ence, Thomas Jenkins Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912928037
LBN Legal business name San Fernando Valley Pulmonary Medical Group, Inc.
DBA Doing business as
Authorized official Ence, Thomas Jenkins Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912928037 NPPES
California MEDICAID GR0001370

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