<Unavail>
LBN: Pellegrin Broad Morse & Moy Mds & Do
<Unavail> 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
Phone: (408) 354-3920
Fax: (408) 354-0782
Website:
Health care specialties
| Specialty | Code | License # | 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 | <Unavail> |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558354373 | NPPES |
| Other | CJ4068 | RR MCR | |
| Other | FNP22360 | RR MCR |
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