South Bay Geriatric And Internal Medicine Inc

LBN: South Bay Geriatric And Internal Medicine Inc
South Bay Geriatric And Internal Medicine Inc is an health care organization with primary practice located at 340 4Th Ave #9, Chula Vista CA 91910-3813. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. South Bay Geriatric And Internal Medicine Inc can be contacted via phone (619) 426-9731, or through Kaisey, Mushrik via phone (619) 426-9731.

Contact Information

Primary practice address
340 4Th Ave #9 Chula Vista CA 91910-3813
Fax: (619) 426-9733
Website:
Authorized official contact:
Name: Kaisey, Mushrik Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X A72963 California

Profile Details

NPI number 1801192497
LBN Legal business name South Bay Geriatric And Internal Medicine Inc
DBA Doing business as
Authorized official Kaisey, Mushrik Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2011
Last updated Aug 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 1801192497 NPPES
California MEDICAID 00A729631

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