<Unavail>

LBN: Upac Trc
<Unavail> is an health care organization with primary practice located at 4191 Colts Way , San Diego CA 92115-6023. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Upac Trc can be contacted via phone (619) 521-5720, or through Pak, Sunnyo via phone (619) 521-5720.

Contact Information

Primary practice address
4191 Colts Way San Diego CA 92115-6023
Phone: (619) 521-5720
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pak, Sunnyo
Phone: (619) 521-5720

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X California

Profile Details

NPI number 1982140521
LBN Legal business name Upac Trc
DBA Doing business as <Unavail>
Authorized official Pak, Sunnyo
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2017
Last updated Jan 6th, 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 1982140521 NPPES
California MEDICAID 8583

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