Evergreen Pediatric Associates Inc.

LBN: Evergreen Pediatric Associates Inc.
Evergreen Pediatric Associates Inc. is an health care organization with primary practice located at 1642 E Capitol Expy , San Jose CA 95121-1800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Evergreen Pediatric Associates Inc. can be contacted via phone (408) 270-3374, or through Ha, Linda M. via phone (408) 270-3374.

Contact Information

Primary practice address
1642 E Capitol Expy San Jose CA 95121-1800
Phone: (408) 270-3374
Fax: (408) 270-3384
Website:
Map and Directions
Authorized official contact:
Name: Ha, Linda M. Doctor of Medicine (MD)
Phone: (408) 270-3374

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X FNP32950 California

Profile Details

NPI number 1215960455
LBN Legal business name Evergreen Pediatric Associates Inc.
DBA Doing business as
Authorized official Ha, Linda M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215960455 NPPES
California MEDICAID GR0102160

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