Southwest Professional Medical Arts

LBN: Southwest Professional Medical Arts
Southwest Professional Medical Arts is an health care organization with primary practice located at 17868 Hwy 18 #329 , Apple Valley CA 92307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Southwest Professional Medical Arts can be contacted via phone (760) 946-5177, or through Taylor, Charles via phone (760) 946-5177.

Contact Information

Primary practice address
17868 Hwy 18 #329 Apple Valley CA 92307
Fax: (760) 946-5133
Website:
Authorized official contact:
Name: Taylor, Charles

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C38699 California

Profile Details

NPI number 1043404700
LBN Legal business name Southwest Professional Medical Arts
DBA Doing business as
Authorized official Taylor, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Jun 25th, 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 1043404700 NPPES
California MEDICAID 00C386992

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