Totem Lake Pediatrics

LBN: Totem Lake Pediatrics
Totem Lake Pediatrics is an health care organization with primary practice located at 13128 Totem Lake Blvd Ne Ste 105 , Kirkland WA 98034-2953. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Totem Lake Pediatrics can be contacted via phone (425) 899-4570, or through Ibrahim, Firoz via phone (425) 899-4570.

Contact Information

Primary practice address
13128 Totem Lake Blvd Ne Ste 105 Kirkland WA 98034-2953
Phone: (425) 899-4570
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Firoz
Phone: (425) 899-4570

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MD00029356 Washington

Profile Details

NPI number 1376706028
LBN Legal business name Totem Lake Pediatrics
DBA Doing business as
Authorized official Ibrahim, Firoz
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2008
Last updated Jul 2nd, 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 1376706028 NPPES
Washington MEDICAID 1078922

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