Pacific Heart And Vascular Medical Group

LBN: Pacific Heart And Vascular Medical Group
Pacific Heart And Vascular Medical Group is an health care organization with primary practice located at 1801 E March Lane Suite D400, Stockton CA 95210-5667. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Pacific Heart And Vascular Medical Group can be contacted via phone (209) 464-3615, or through Bohna, Katherine via phone (209) 464-3615.

Contact Information

Primary practice address
1801 E March Lane Suite D400 Stockton CA 95210-5667
Phone: (209) 464-3615
Fax: (209) 464-1311
Website:
Map and Directions
Authorized official contact:
Name: Bohna, Katherine
Phone: (209) 464-3615

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X FNP33233 California

Profile Details

NPI number 1649208463
LBN Legal business name Pacific Heart And Vascular Medical Group
DBA Doing business as
Authorized official Bohna, Katherine
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Mar 2nd, 2020 - about 6 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 1649208463 NPPES
California Other 060057321 RAILROAD MEDICARE GROUP #
California Other ZZZ59840Z RAILROAD MEDICARE GROUP #
California MEDICAID GR0086062 RAILROAD MEDICARE GROUP #

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