Wellbound Of San Mateo

LBN: Wellbound Of San Jose, Llc
Wellbound Of San Mateo is an health care organization with primary practice located at 2000 S El Camino Real , San Mateo CA 94403-1805. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Wellbound Of San Jose, Llc can be contacted via phone (650) 377-0882, or through Vincent, Bernadette via phone (650) 404-3600.

Contact Information

Primary practice address
2000 S El Camino Real San Mateo CA 94403-1805
Phone: (650) 377-0882
Fax: (650) 358-3906
Website:
Map and Directions
Authorized official contact:
Name: Vincent, Bernadette
Phone: (650) 404-3600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1023161734
LBN Legal business name Wellbound Of San Jose, Llc
DBA Doing business as Wellbound Of San Mateo
Authorized official Vincent, Bernadette
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 18th, 2007
Last updated Jan 14th, 2023 - about 3 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 1023161734 NPPES
California MEDICAID CDC52582F

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