<Unavail>

LBN: Raafat George Gerges
<Unavail> is an health care organization with primary practice located at 12730 Heacock St Ste 1 , Moreno Valley CA 92553-3040. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Raafat George Gerges can be contacted via phone (951) 485-1234, or through Gerges, Raafat via phone (951) 776-2015.

Contact Information

Primary practice address
12730 Heacock St Ste 1 Moreno Valley CA 92553-3040
Phone: (951) 485-1234
Fax: (951) 485-3233
Website:
Map and Directions
Authorized official contact:
Name: Gerges, Raafat
Phone: (951) 776-2015

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY47339 California

Profile Details

NPI number 1932142718
LBN Legal business name Raafat George Gerges
DBA Doing business as <Unavail>
Authorized official Gerges, Raafat
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2006
Last updated May 11th, 2012 - about 14 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 1932142718 NPPES
California MEDICAID PHA473390
California Other 5617052

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