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
Phone: (619) 420-1378
Fax: (619) 420-1331
Website:
Authorized official contact:
Name: Valladolid, Efrain T Doctor of Medicine (MD)
Phone: (619) 420-1378
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508920984 | NPPES |
California | MEDICAID | 00A614740 |
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