Southgate Medical Clinic, P.S.

LBN: Southgate Medical Clinic, P.S.
Southgate Medical Clinic, P.S. is an health care organization with primary practice located at 6044 Martin Luther King Jr Way S Ste 104 , Seattle WA 98118-3179. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Southgate Medical Clinic, P.S. can be contacted via phone (206) 723-9853, or through Velasco, Robert Alfiler via phone (206) 723-9853.

Contact Information

Primary practice address
6044 Martin Luther King Jr Way S Ste 104 Seattle WA 98118-3179
Fax:
Website:
Authorized official contact:
Name: Velasco, Robert Alfiler Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Washington

Profile Details

NPI number 1285751990
LBN Legal business name Southgate Medical Clinic, P.S.
DBA Doing business as
Authorized official Velasco, Robert Alfiler Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Aug 22nd, 2020 - about 5 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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