Southern Tulare Medical Group

LBN: Southern Tulare Medical Group
Southern Tulare Medical Group is an health care organization with primary practice located at 465 W Putnam Ave , Porterville CA 93257-3320. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Southern Tulare Medical Group can be contacted via phone (559) 784-1110, or through Attoh, Michael via phone (559) 784-1110.

Contact Information

Primary practice address
465 W Putnam Ave Porterville CA 93257-3320
Phone: (559) 784-1110
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Attoh, Michael Doctor of Medicine (MD)
Phone: (559) 784-1110

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1295913358
LBN Legal business name Southern Tulare Medical Group
DBA Doing business as
Authorized official Attoh, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Jan 31st, 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 1295913358 NPPES
California Other ZZZ07552Z BLUE SHIELD OF CALIFORNIA
California MEDICAID GR0095240 BLUE SHIELD OF CALIFORNIA

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