North Valley Breast Clinic

LBN: North Valley Breast Clinic
North Valley Breast Clinic is an health care organization with primary practice located at 1335 Buenaventura Blvd Suite # 204, Redding CA 96001-0160. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. North Valley Breast Clinic can be contacted via phone (530) 243-5551, or through Grady, Ian P via phone (530) 243-5551.

Contact Information

Primary practice address
1335 Buenaventura Blvd Suite # 204 Redding CA 96001-0160
Phone: (530) 243-5551
Fax: (530) 245-0572
Website:
Map and Directions
Authorized official contact:
Name: Grady, Ian P Doctor of Medicine (MD)
Phone: (530) 243-5551

Health care specialties

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

Profile Details

NPI number 1841494366
LBN Legal business name North Valley Breast Clinic
DBA Doing business as
Authorized official Grady, Ian P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated Jul 16th, 2012 - about 14 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 1841494366 NPPES
California Other ZZZ53955Y BLUE SHIELD

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