Robert A. Devereaux, M.D., Inc.

LBN: Robert A. Devereaux, M.D., Inc.
Robert A. Devereaux, M.D., Inc. is an health care organization with primary practice located at 11100 Warner Ave Suite 100, Fountain Valley CA 92708-7506. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Robert A. Devereaux, M.D., Inc. can be contacted via phone (714) 957-9389, or through Devereaux, Robert Allan via phone (714) 957-9389.

Contact Information

Primary practice address
11100 Warner Ave Suite 100 Fountain Valley CA 92708-7506
Phone: (714) 957-9389
Fax: (714) 957-0144
Website:
Map and Directions
Authorized official contact:
Name: Devereaux, Robert Allan Doctor of Medicine (MD)
Phone: (714) 957-9389

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A31475 California

Profile Details

NPI number 1538344189
LBN Legal business name Robert A. Devereaux, M.D., Inc.
DBA Doing business as
Authorized official Devereaux, Robert Allan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Feb 6th, 2008 - about 18 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 1538344189 NPPES
California MEDICAID 00A314750

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