Santa Cruz Medical Clinic

LBN: Santa Cruz Medical Clinic
Santa Cruz Medical Clinic is an health care organization with primary practice located at 8703 Stonewall Rd 2B, Manassas VA 20110-8325. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Santa Cruz Medical Clinic can be contacted via phone (703) 361-1955, or through Kang, Byong K via phone (703) 361-1955.

Contact Information

Primary practice address
8703 Stonewall Rd 2B Manassas VA 20110-8325
Phone: (703) 361-1955
Fax: (703) 361-3277
Website:
Map and Directions
Authorized official contact:
Name: Kang, Byong K Doctor of Medicine (MD)
Phone: (703) 361-1955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1013199348
LBN Legal business name Santa Cruz Medical Clinic
DBA Doing business as
Authorized official Kang, Byong K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2007
Last updated May 15th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013199348 NPPES
Virginia Other C08625 MEDICARE GROUP

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