<Unavail>

LBN: Mill Medical Clinic Inc
<Unavail> is an health care organization with primary practice located at 1292 W Mill St Suite 105, San Bernardino CA 92410-2500. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mill Medical Clinic Inc can be contacted via phone (909) 383-9440, or through Kintanar, Paul C via phone (909) 253-0841.

Contact Information

Primary practice address
1292 W Mill St Suite 105 San Bernardino CA 92410-2500
Phone: (909) 383-9440
Fax: (909) 383-9443
Website:
Map and Directions
Authorized official contact:
Name: Kintanar, Paul C
Phone: (909) 253-0841

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A383760 California

Profile Details

NPI number 1710074877
LBN Legal business name Mill Medical Clinic Inc
DBA Doing business as <Unavail>
Authorized official Kintanar, Paul C
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Aug 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710074877 NPPES
California MEDICAID 00A383760
California MEDICAID 00A383761
California MEDICAID GR0078010

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