Tetra Health Care

LBN: Tetra Health Care
Tetra Health Care is an health care organization with primary practice located at 10714 Woodbine St Apt 4 , Los Angeles CA 90034-5423. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Tetra Health Care can be contacted via phone (310) 925-5542, or through Essombe, Geraldine Lise via phone (310) 925-5542.

Contact Information

Primary practice address
10714 Woodbine St Apt 4 Los Angeles CA 90034-5423
Fax:
Website:
Authorized official contact:
Name: Essombe, Geraldine Lise BCBA

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1396214615
LBN Legal business name Tetra Health Care
DBA Doing business as
Authorized official Essombe, Geraldine Lise BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2018
Last updated Nov 15th, 2018 - about 8 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 1396214615 NPPES
California MEDICAID 1700331956

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