Impact Care Access Network Inc

LBN: Impact Care Access Network Inc
Impact Care Access Network Inc is an health care organization with primary practice located at 9390 Hesperia Rd Suite # 7, Hesperia CA 92345-3602. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Impact Care Access Network Inc can be contacted via phone (760) 998-2125, or through Kouros, Philip Dimitrios via phone (760) 948-4219.

Contact Information

Primary practice address
9390 Hesperia Rd Suite # 7 Hesperia CA 92345-3602
Phone: (760) 998-2125
Fax: (760) 948-0723
Website:
Map and Directions
Authorized official contact:
Name: Kouros, Philip Dimitrios Doctor of Medicine (MD)
Phone: (760) 948-4219

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X G69428 California
Ambulatory Health Care Facilities / Urgent Care 261QU0200X G69428 California

Profile Details

NPI number 1861858904
LBN Legal business name Impact Care Access Network Inc
DBA Doing business as
Authorized official Kouros, Philip Dimitrios Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2016
Last updated Jan 5th, 2016 - about 10 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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