A Medina Professional Dental Corporation

LBN: A Medina Professional Dental Corporation
A Medina Professional Dental Corporation is an health care organization with primary practice located at 309 Third Avenue , Chula Vista CA 91910-3910. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. A Medina Professional Dental Corporation can be contacted via phone (619) 420-6030, or through Medina, Alfred A via phone (619) 420-6030.

Contact Information

Primary practice address
309 Third Avenue Chula Vista CA 91910-3910
Phone: (619) 420-6030
Fax: (619) 420-9102
Website:
Map and Directions
Authorized official contact:
Name: Medina, Alfred A Doctor of Dental Surgery (DDS)
Phone: (619) 420-6030

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 29371 California

Profile Details

NPI number 1114167186
LBN Legal business name A Medina Professional Dental Corporation
DBA Doing business as
Authorized official Medina, Alfred A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2009
Last updated Aug 26th, 2015 - about 10 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 1114167186 NPPES
California Other 000475909 UNITED CONCORDIA

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