Grossmont Anesthesia Services Medical Group Inc

LBN: Grossmont Anesthesia Services Medical Group Inc
Grossmont Anesthesia Services Medical Group Inc is an health care organization with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Grossmont Anesthesia Services Medical Group Inc can be contacted via phone (619) 456-0711, or through Kourajian, Peter via phone (619) 460-5111.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942
Phone: (619) 456-0711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kourajian, Peter Doctor of Medicine (MD)
Phone: (619) 460-5111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1366500571
LBN Legal business name Grossmont Anesthesia Services Medical Group Inc
DBA Doing business as
Authorized official Kourajian, Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 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 1366500571 NPPES
California MEDICAID GR0064000

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