Terracina Medical Clinic Inc

LBN: Terracina Medical Clinic Inc
Terracina Medical Clinic Inc is an health care organization with primary practice located at 34636 County Line Rd Suite 32, Yucaipa CA 92399-5393. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Terracina Medical Clinic Inc can be contacted via phone (909) 795-9355, or through Samaan, Maged G via phone (909) 795-9355.

Contact Information

Primary practice address
34636 County Line Rd Suite 32 Yucaipa CA 92399-5393
Phone: (909) 795-9355
Fax: (909) 795-9439
Website:
Map and Directions
Authorized official contact:
Name: Samaan, Maged G Doctor of Osteopathy (DO)
Phone: (909) 795-9355

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A65841 California

Profile Details

NPI number 1336356690
LBN Legal business name Terracina Medical Clinic Inc
DBA Doing business as
Authorized official Samaan, Maged G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Oct 31st, 2023 - about last year

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 1336356690 NPPES
California MEDICAID 00AX65840

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