Aliso Medical Clinic, Inc
LBN: Aliso Medical Clinic, Inc
Aliso Medical Clinic, Inc is an health care organization with primary practice located at 1625 E 4Th St , Los Angeles CA 90033-4201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
Aliso Medical Clinic, Inc can be contacted via phone (323) 268-8391, or through Barnes-Keith, Christine via phone (323) 268-8391.
Contact Information
Primary practice address
1625 E 4Th St
Los Angeles CA 90033-4201
Phone: (323) 268-8391
Fax: (323) 268-8014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | A28934 | California |
Profile Details
| NPI number | 1154457745 |
|---|---|
| LBN Legal business name | Aliso Medical Clinic, Inc |
| DBA Doing business as | |
| Authorized official | Barnes-Keith, Christine |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Aug 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154457745 | NPPES |
| California | Other | ZZZ74805Z | BLUE SHIELD GRP PIN |
| California | MEDICAID | GR0067720 | BLUE SHIELD GRP PIN |
| California | MEDICAID | 00A289340 | BLUE SHIELD GRP PIN |
| California | Other | 11513273 | BLUE SHIELD GRP PIN |
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