Watt Avenue Medical Clinic

LBN: Watt Avenue Medical Clinic
Watt Avenue Medical Clinic is an health care organization with primary practice located at 5710 Watt Ave , North Highlands CA 95660-4752. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Watt Avenue Medical Clinic can be contacted via phone (916) 344-8866, or through Danialypour, Nourollah via phone (916) 344-8866.

Contact Information

Primary practice address
5710 Watt Ave North Highlands CA 95660-4752
Phone: (916) 344-8866
Fax: (916) 344-3979
Website:
Map and Directions
Authorized official contact:
Name: Danialypour, Nourollah Doctor of Medicine (MD)
Phone: (916) 344-8866

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A41114 California

Profile Details

NPI number 1124218979
LBN Legal business name Watt Avenue Medical Clinic
DBA Doing business as
Authorized official Danialypour, Nourollah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2007
Last updated Dec 14th, 2010 - about 14 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 1124218979 NPPES
California Other GR0103750 GROUP NUMBER
California Other 1245304856 GROUP NUMBER

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