South Bay Family Medical Group, Inc

LBN: South Bay Family Medical Group, Inc
South Bay Family Medical Group, Inc is an health care organization with primary practice located at 584 E St , Chula Vista CA 91910-2348. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. South Bay Family Medical Group, Inc can be contacted via phone (619) 420-1378, or through Valladolid, Efrain T via phone (619) 420-1378.

Contact Information

Primary practice address
584 E St Chula Vista CA 91910-2348
Fax: (619) 420-1331
Website:
Authorized official contact:
Name: Valladolid, Efrain T Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A61474 California

Profile Details

NPI number 1508920984
LBN Legal business name South Bay Family Medical Group, Inc
DBA Doing business as
Authorized official Valladolid, Efrain T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Mar 2nd, 2011 - about 14 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 1508920984 NPPES
California MEDICAID 00A614740

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