Ebtissam H Korkis Md Inc

LBN: Ebtissam H Korkis Md Inc
Ebtissam H Korkis Md Inc is an health care organization with primary practice located at 1530 Jamacha Rd Ste E-F , El Cajon CA 92019-3700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ebtissam H Korkis Md Inc can be contacted via phone (619) 441-9200, or through Korkis, Ebtissam H. via phone (619) 441-9200.

Contact Information

Primary practice address
1530 Jamacha Rd Ste E-F El Cajon CA 92019-3700
Phone: (619) 441-9200
Fax: (619) 441-0710
Website:
Map and Directions
Authorized official contact:
Name: Korkis, Ebtissam H. Doctor of Medicine (MD)
Phone: (619) 441-9200

Health care specialties

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

Profile Details

NPI number 1144732595
LBN Legal business name Ebtissam H Korkis Md Inc
DBA Doing business as
Authorized official Korkis, Ebtissam H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2017
Last updated Jun 16th, 2018 - about 8 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 1144732595 NPPES
California MEDICAID 00A897670

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