Los Gatos Family Physicians Medical Associates

LBN: Pellegrin Broad Morse & Moy Mds & Do
Los Gatos Family Physicians Medical Associates is an health care organization with primary practice located at 143 E Main St , Los Gatos CA 95030-6903. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pellegrin Broad Morse & Moy Mds & Do can be contacted via phone (408) 354-3920, or through Hanson, Susan via phone (408) 354-4030.

Contact Information

Primary practice address
143 E Main St Los Gatos CA 95030-6903
Fax: (408) 354-0782
Website:
Authorized official contact:
Name: Hanson, Susan

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G41377 G67157 G75242 California
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X G41377 G75242 A55016 California

Profile Details

NPI number 1558354373
LBN Legal business name Pellegrin Broad Morse & Moy Mds & Do
DBA Doing business as Los Gatos Family Physicians Medical Associates
Authorized official Hanson, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated May 22nd, 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 1558354373 NPPES
Other CJ4068 RR MCR
Other FNP22360 RR MCR

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