Genesis Medical Clinic

LBN: Genesis Medical Clinic
Genesis Medical Clinic is an health care organization with primary practice located at 6189 La Palma Ave , Buena Park CA 90620-2858. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Genesis Medical Clinic can be contacted via phone (714) 522-2891, or through Heine, Kenny via phone (858) 625-2990.

Contact Information

Primary practice address
6189 La Palma Ave Buena Park CA 90620-2858
Phone: (714) 522-2891
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 625-2990

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 11986 California

Profile Details

NPI number 1932436714
LBN Legal business name Genesis Medical Clinic
DBA Doing business as
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 16th, 2009
Last updated Dec 3rd, 2014 - about 12 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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