Stateside Medical Llc

LBN: Stateside Medical Llc
Stateside Medical Llc is an health care organization with primary practice located at 380 W Baseline Rd , Claremont CA 91711-1751. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Stateside Medical Llc can be contacted via phone (714) 408-8996, or through Miclat, Toby via phone (714) 408-8996.

Contact Information

Primary practice address
380 W Baseline Rd Claremont CA 91711-1751
Phone: (714) 408-8996
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Miclat, Toby
Phone: (714) 408-8996

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1215562913
LBN Legal business name Stateside Medical Llc
DBA Doing business as
Authorized official Miclat, Toby
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 6 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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