Sanjai Thankachen Pa

LBN: Sanjai Thankachen Pa
Sanjai Thankachen Pa is an health care organization with primary practice located at 19900 Beach Blvd Ste H , Huntington Beach CA 92648-3762. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Sanjai Thankachen Pa can be contacted via phone (877) 538-4133, or through Thankachen, Sanjai Mathew via phone (714) 782-4700.

Contact Information

Primary practice address
19900 Beach Blvd Ste H Huntington Beach CA 92648-3762
Phone: (877) 538-4133
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thankachen, Sanjai Mathew Doctor of Medicine (MD)
Phone: (714) 782-4700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1679003834
LBN Legal business name Sanjai Thankachen Pa
DBA Doing business as
Authorized official Thankachen, Sanjai Mathew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2017
Last updated Jun 19th, 2017 - about 9 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 1679003834 NPPES
California Other A103818 STATE LICENSE

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