San Lucas Pediatric, Inc.

LBN: San Lucas Pediatric, Inc.
San Lucas Pediatric, Inc. is an health care organization with primary practice located at 4100 E Commerce Way Ste 100 , Sacramento CA 95834-9501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. San Lucas Pediatric, Inc. can be contacted via phone (916) 575-9090, or through Arevalo, Manuel A. via phone (916) 575-9090.

Contact Information

Primary practice address
4100 E Commerce Way Ste 100 Sacramento CA 95834-9501
Phone: (916) 575-9090
Fax: (916) 575-9099
Website:
Map and Directions
Authorized official contact:
Name: Arevalo, Manuel A. Doctor of Medicine (MD)
Phone: (916) 575-9090

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A62749 California

Profile Details

NPI number 1073870283
LBN Legal business name San Lucas Pediatric, Inc.
DBA Doing business as
Authorized official Arevalo, Manuel A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2012
Last updated Apr 12th, 2012 - about 13 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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