Shields For Families School Base

LBN: Shields For Families School Base
Shields For Families School Base is an health care organization with primary practice located at 161 W Victoria St Suite 255, Long Beach CA 90805-2175. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Shields For Families School Base can be contacted via phone (323) 242-5000, or through Icenhower, Kathryn S via phone (323) 242-5000.

Contact Information

Primary practice address
161 W Victoria St Suite 255 Long Beach CA 90805-2175
Phone: (323) 242-5000
Fax: (323) 242-5011
Website:
Map and Directions
Authorized official contact:
Name: Icenhower, Kathryn S PH.D.
Phone: (323) 242-5000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1386776110
LBN Legal business name Shields For Families School Base
DBA Doing business as
Authorized official Icenhower, Kathryn S PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Apr 10th, 2020 - about 5 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 1386776110 NPPES
California MEDICAID 7536

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