Paul L. Dudley, M.D., A Medical Corporation

LBN: Paul L. Dudley, M.D., A Medical Corporation
Paul L. Dudley, M.D., A Medical Corporation is an health care organization with primary practice located at 2220 Lynn Rd Ste 206 , Thousand Oaks CA 91360-8007. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Paul L. Dudley, M.D., A Medical Corporation can be contacted via phone (805) 497-0027, or through Sheehan, Tiffany via phone (805) 497-0027.

Contact Information

Primary practice address
2220 Lynn Rd Ste 206 Thousand Oaks CA 91360-8007
Phone: (805) 497-0027
Fax: (805) 497-0147
Website:
Map and Directions
Authorized official contact:
Name: Sheehan, Tiffany
Phone: (805) 497-0027

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G25705 California

Profile Details

NPI number 1396871125
LBN Legal business name Paul L. Dudley, M.D., A Medical Corporation
DBA Doing business as
Authorized official Sheehan, Tiffany
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Oct 3rd, 2007 - about 19 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 1396871125 NPPES
California MEDICAID 00G257050

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