Surgical Physician Assistant Specialist, Inc.

LBN: Surgical Physician Assistant Specialist, Inc.
Surgical Physician Assistant Specialist, Inc. is an health care organization with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Surgical Physician Assistant Specialist, Inc. can be contacted via phone (619) 740-6000, or through Periharos, Zachary via phone (978) 822-6348.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942-3019
Phone: (619) 740-6000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Periharos, Zachary Physician's Assistant Certified (PA-C)
Phone: (978) 822-6348

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1619544178
LBN Legal business name Surgical Physician Assistant Specialist, Inc.
DBA Doing business as
Authorized official Periharos, Zachary Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2021
Last updated Jun 4th, 2021 - about 3 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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