St Mary Specialty Clinic

LBN: St Mary Specialty Clinic
St Mary Specialty Clinic is an health care organization with primary practice located at 19333 Bear Valley Rd Ste 106 , Apple Valley CA 92308-5149. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is the primary health care specialty. St Mary Specialty Clinic can be contacted via phone (760) 240-5505, or through Mukai, Moses T via phone (714) 449-4800.

Contact Information

Primary practice address
19333 Bear Valley Rd Ste 106 Apple Valley CA 92308-5149
Phone: (760) 240-5505
Fax: (760) 240-5525
Website:
Map and Directions
Authorized official contact:
Name: Mukai, Moses T Doctor of Medicine (MD)
Phone: (714) 449-4800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1588972806
LBN Legal business name St Mary Specialty Clinic
DBA Doing business as
Authorized official Mukai, Moses T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2010
Last updated May 31st, 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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