Serra Community Medical Clinic- Sunland

LBN: Serra Community Medical Clinic, Inc.
Serra Community Medical Clinic- Sunland is an health care organization with primary practice located at 8426 Sunland Blvd , Sun Valley CA 91352-3436. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Serra Community Medical Clinic, Inc. can be contacted via phone (818) 504-4526, or through Perez, Lily via phone (818) 504-4701.

Contact Information

Primary practice address
8426 Sunland Blvd Sun Valley CA 91352-3436
Phone: (818) 504-4526
Fax: (818) 504-4690
Website:
Map and Directions
Authorized official contact:
Name: Perez, Lily
Phone: (818) 504-4701

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1114543113
LBN Legal business name Serra Community Medical Clinic, Inc.
DBA Doing business as Serra Community Medical Clinic- Sunland
Authorized official Perez, Lily
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 25th, 2020
Last updated Jul 29th, 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 1114543113 NPPES
California MEDICAID 1275545725

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