Jean Rizkallah, Md, Inc

LBN: Jean Rizkallah, Md, Inc
Jean Rizkallah, Md, Inc is an health care organization with primary practice located at 450 Fourth Ave. Ste 408, Chula Vista CA 91910-4430. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jean Rizkallah, Md, Inc can be contacted via phone (619) 691-1990, or through Rizkallah, Jean via phone (619) 691-1990.

Contact Information

Primary practice address
450 Fourth Ave. Ste 408 Chula Vista CA 91910-4430
Phone: (619) 691-1990
Fax: (619) 691-5977
Website:
Map and Directions
Authorized official contact:
Name: Rizkallah, Jean Doctor of Medicine (MD)
Phone: (619) 691-1990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A93296 California

Profile Details

NPI number 1760702237
LBN Legal business name Jean Rizkallah, Md, Inc
DBA Doing business as
Authorized official Rizkallah, Jean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2010
Last updated Dec 20th, 2011 - about 15 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 1760702237 NPPES
California MEDICAID 1003800368

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