Chet Jangala, Md

LBN: Lake Wilderness Medical Clinic Llc
Chet Jangala, Md is an health care organization with primary practice located at 26907 Maple Valley Black Diamond Rd Se , Maple Valley WA 98038-8314. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Lake Wilderness Medical Clinic Llc can be contacted via phone (425) 432-9611, or through Jangala, Chester Edmond via phone (425) 432-9611.

Contact Information

Primary practice address
26907 Maple Valley Black Diamond Rd Se Maple Valley WA 98038-8314
Phone: (425) 432-9611
Fax: (206) 973-5399
Website:
Map and Directions
Authorized official contact:
Name: Jangala, Chester Edmond Doctor of Medicine (MD)
Phone: (425) 432-9611

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 602777613 Washington

Profile Details

NPI number 1669647152
LBN Legal business name Lake Wilderness Medical Clinic Llc
DBA Doing business as Chet Jangala, Md
Authorized official Jangala, Chester Edmond Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2008
Last updated Apr 25th, 2008 - about 18 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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