Southern California Transplantation Institute

LBN: Southern California Transplantation Institute
Southern California Transplantation Institute is an health care organization with primary practice located at 4000 14Th St Suite 512, Riverside CA 92501-4083. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southern California Transplantation Institute can be contacted via phone (951) 275-9000, or through Wahlstrom, Hakan Erik via phone (951) 275-9000.

Contact Information

Primary practice address
4000 14Th St Suite 512 Riverside CA 92501-4083
Phone: (951) 275-9000
Fax: (951) 275-5262
Website:
Map and Directions
Authorized official contact:
Name: Wahlstrom, Hakan Erik Doctor of Medicine (MD)
Phone: (951) 275-9000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A37140 California

Profile Details

NPI number 1164410494
LBN Legal business name Southern California Transplantation Institute
DBA Doing business as
Authorized official Wahlstrom, Hakan Erik Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1164410494 NPPES
California MEDICAID GR0078850

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