Com Fam Pract Urgent

LBN: Com Fam Pract Urgent
Com Fam Pract Urgent is an health care organization with primary practice located at 2715 E Main St , Ventura CA 93003-2803. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Com Fam Pract Urgent can be contacted via phone (805) 648-5268, or through Datlow, Michael S via phone (805) 648-5268.

Contact Information

Primary practice address
2715 E Main St Ventura CA 93003-2803
Phone: (805) 648-5268
Fax: (805) 648-5260
Website:
Map and Directions
Authorized official contact:
Name: Datlow, Michael S Doctor of Medicine (MD)
Phone: (805) 648-5268

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C39479 California

Profile Details

NPI number 1972702702
LBN Legal business name Com Fam Pract Urgent
DBA Doing business as
Authorized official Datlow, Michael S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Nov 7th, 2007 - about 19 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 1972702702 NPPES
California MEDICAID 00C394790

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