Southern California Riviera

LBN: Southern California Riviera
Southern California Riviera is an health care organization with primary practice located at 24411 Health Center Dr Ste 560, Laguna Hills CA 92653-3651. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as the primary health care specialty. Southern California Riviera can be contacted via phone (949) 452-0061, or through Kadifa, Fady via phone (949) 452-0061.

Contact Information

Primary practice address
24411 Health Center Dr Ste 560 Laguna Hills CA 92653-3651
Phone: (949) 452-0061
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kadifa, Fady Doctor of Medicine (MD)
Phone: (949) 452-0061

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X California

Profile Details

NPI number 1376640417
LBN Legal business name Southern California Riviera
DBA Doing business as
Authorized official Kadifa, Fady Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jan 14th, 2013 - about 12 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 1376640417 NPPES
California MEDICAID 00A508220
California Other DC4641

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