Department Of Family Medicine

LBN: Usc Family Medicine Inc.
Department Of Family Medicine is an health care organization with primary practice located at 420 W Las Tunas Dr , San Gabriel CA 91776-1268. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Usc Family Medicine Inc. can be contacted via phone (626) 296-9500, or through Paladine, Heather via phone (626) 296-9500.

Contact Information

Primary practice address
420 W Las Tunas Dr San Gabriel CA 91776-1268
Phone: (626) 296-9500
Fax: (626) 296-9505
Website:
Map and Directions
Authorized official contact:
Name: Paladine, Heather Doctor of Medicine (MD)
Phone: (626) 296-9500

Health care specialties

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

Profile Details

NPI number 1366586992
LBN Legal business name Usc Family Medicine Inc.
DBA Doing business as Department Of Family Medicine
Authorized official Paladine, Heather Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1366586992 NPPES
California MEDICAID GR0057012

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