Bill Moore Community Health Clinic

LBN: Urdc Human Services Corporation
Bill Moore Community Health Clinic is an health care organization with primary practice located at 1460 N Lake Ave , Pasadena CA 91104-2300. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Urdc Human Services Corporation can be contacted via phone (626) 398-3796, or through Sorkin, Al via phone (626) 398-3796.

Contact Information

Primary practice address
1460 N Lake Ave Pasadena CA 91104-2300
Phone: (626) 398-3796
Fax: (626) 398-3895
Website:
Map and Directions
Authorized official contact:
Name: Sorkin, Al PH.D.
Phone: (626) 398-3796

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X CMM70645F California

Profile Details

NPI number 1114963642
LBN Legal business name Urdc Human Services Corporation
DBA Doing business as Bill Moore Community Health Clinic
Authorized official Sorkin, Al PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114963642 NPPES
California MEDICAID CMM70645F
California Other W16126

Popular Providers