Gary Vandenberg,Jr., M.D.,Inc.

LBN: Gary Vandenberg,Jr., M.D.,Inc.
Gary Vandenberg,Jr., M.D.,Inc. is an health care organization with primary practice located at 9834 Genesee Ave Ste 326 , La Jolla CA 92037-1216. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Gary Vandenberg,Jr., M.D.,Inc. can be contacted via phone (858) 453-3813, or through Vandenberg, Gary via phone (858) 453-3813.

Contact Information

Primary practice address
9834 Genesee Ave Ste 326 La Jolla CA 92037-1216
Phone: (858) 453-3813
Fax: (858) 453-1727
Website:
Map and Directions
Authorized official contact:
Name: Vandenberg, Gary Doctor of Medicine (MD)
Phone: (858) 453-3813

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X C33053 California

Profile Details

NPI number 1306355714
LBN Legal business name Gary Vandenberg,Jr., M.D.,Inc.
DBA Doing business as
Authorized official Vandenberg, Gary Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2017
Last updated Jul 21st, 2022 - about 4 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 1306355714 NPPES
California Other C33053 M.D.

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