South Valley Internal Medicine A Medical Corporation

LBN: South Valley Internal Medicine A Medical Corporation
South Valley Internal Medicine A Medical Corporation is an health care organization with primary practice located at 18356 Clark St Suite 101, Tarzana CA 91356-3502. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. South Valley Internal Medicine A Medical Corporation can be contacted via phone (626) 397-4910, or through Villalba, Eugenia via phone (626) 397-4910.

Contact Information

Primary practice address
18356 Clark St Suite 101 Tarzana CA 91356-3502
Phone: (626) 397-4910
Fax: (626) 397-4911
Website:
Map and Directions
Authorized official contact:
Name: Villalba, Eugenia
Phone: (626) 397-4910

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A67014 California

Profile Details

NPI number 1962475244
LBN Legal business name South Valley Internal Medicine A Medical Corporation
DBA Doing business as
Authorized official Villalba, Eugenia
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2006
Last updated Apr 29th, 2008 - about 16 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 1962475244 NPPES
California Other 607841115 SS#
California MEDICAID 00A670140 SS#

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