Clinic Medica California

LBN: Californi Medical Clinic Inc
Clinic Medica California is an health care organization with primary practice located at 16701 Valley Blvd , Fontana CA 92335-6696. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Californi Medical Clinic Inc can be contacted via phone (909) 467-1605, or through Luna, Leland Mathew via phone (909) 467-1605.

Contact Information

Primary practice address
16701 Valley Blvd Fontana CA 92335-6696
Phone: (909) 467-1605
Fax: (909) 467-1608
Website:
Map and Directions
Authorized official contact:
Name: Luna, Leland Mathew Doctor of Osteopathy (DO)
Phone: (909) 467-1605

Health care specialties

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

Profile Details

NPI number 1215022918
LBN Legal business name Californi Medical Clinic Inc
DBA Doing business as Clinic Medica California
Authorized official Luna, Leland Mathew Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 18th, 2008 - about 18 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 1215022918 NPPES
California MEDICAID 5095137

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