<Unavail>
LBN: William M. Kelly M.D., Inc.
<Unavail> is an health care organization with primary practice located at 11360 Mountain View Ave Suite C, Loma Linda CA 92354-3861. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging is the primary health care specialty.
William M. Kelly M.D., Inc. can be contacted via phone (909) 478-3300, or through Storer, Melonie via phone (951) 302-2223.
Contact Information
Primary practice address
11360 Mountain View Ave Suite C
Loma Linda CA 92354-3861
Phone: (909) 478-3300
Fax: (909) 478-3900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | A34125 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A34125 | California |
Profile Details
| NPI number | 1295718161 |
|---|---|
| LBN Legal business name | William M. Kelly M.D., Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Storer, Melonie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 23rd, 2005 |
| Last updated | Jan 12th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295718161 | NPPES |
| California | MEDICAID | 00A341251 |
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