St. Paul Medical Clinic A Professional Corporation
LBN: St. Paul Medical Clinic A Professional Corporation
St. Paul Medical Clinic A Professional Corporation is an health care organization with primary practice located at 15216 Vanowen St Ste 2A , Van Nuys CA 91405-3679. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
St. Paul Medical Clinic A Professional Corporation can be contacted via phone (818) 989-2406, or through Tran, Anhtuan Dang via phone (818) 989-2406.
Contact Information
Primary practice address
15216 Vanowen St Ste 2A
Van Nuys CA 91405-3679
Phone: (818) 989-2406
Fax: (818) 989-0696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A90428 | California |
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | A90428 | California |
Profile Details
| NPI number | 1629142062 |
|---|---|
| LBN Legal business name | St. Paul Medical Clinic A Professional Corporation |
| DBA Doing business as | |
| Authorized official | Tran, Anhtuan Dang Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2006 |
| Last updated | Jul 1st, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629142062 | NPPES |
| California | MEDICAID | 00A904280 |
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