San Judas Medical Group Ipa

LBN: San Judas Medical Group Ipa
San Judas Medical Group Ipa is an health care organization with primary practice located at 1075 N Western Ave , Los Angeles CA 90029-2307. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. San Judas Medical Group Ipa can be contacted via phone (323) 957-8787, or through Rostami, Nejat via phone (323) 957-8787.

Contact Information

Primary practice address
1075 N Western Ave Los Angeles CA 90029-2307
Phone: (323) 957-8787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rostami, Nejat Doctor of Medicine (MD)
Phone: (323) 957-8787

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1598928814
LBN Legal business name San Judas Medical Group Ipa
DBA Doing business as
Authorized official Rostami, Nejat Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2008
Last updated Nov 30th, 2009 - about 16 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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