Shore To Shore Medical Group

LBN: Philip S Shore M D Inc
Shore To Shore Medical Group is an health care organization with primary practice located at 18546 Roscoe Blvd Suite 302, Northridge CA 91324-4663. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Philip S Shore M D Inc can be contacted via phone (818) 886-1100, or through Shore, Philip S via phone (818) 886-1100.

Contact Information

Primary practice address
18546 Roscoe Blvd Suite 302 Northridge CA 91324-4663
Phone: (818) 886-1100
Fax: (818) 886-7501
Website:
Map and Directions
Authorized official contact:
Name: Shore, Philip S Doctor of Medicine (MD)
Phone: (818) 886-1100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G071824 California

Profile Details

NPI number 1568481315
LBN Legal business name Philip S Shore M D Inc
DBA Doing business as Shore To Shore Medical Group
Authorized official Shore, Philip S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jun 22nd, 2015 - about 11 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 1568481315 NPPES
California Other 00G718240 BLUE SHIELD

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