St. Joseph Pulmonary Diagnostic Medical Group

LBN: St. Joseph Pulmonary Diagnostic Medical Group
St. Joseph Pulmonary Diagnostic Medical Group is an health care organization with primary practice located at 501 S Buena Vista St , Burbank CA 91505-4809. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. St. Joseph Pulmonary Diagnostic Medical Group can be contacted via phone (818) 972-2626, or through Taback, Steven via phone (818) 972-2626.

Contact Information

Primary practice address
501 S Buena Vista St Burbank CA 91505-4809
Phone: (818) 972-2626
Fax: (818) 842-5145
Website:
Map and Directions
Authorized official contact:
Name: Taback, Steven Doctor of Medicine (MD)
Phone: (818) 972-2626

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1013035864
LBN Legal business name St. Joseph Pulmonary Diagnostic Medical Group
DBA Doing business as
Authorized official Taback, Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Aug 21st, 2012 - about 13 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 1013035864 NPPES
California MEDICAID GR0049980

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