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Contact Information

AVIISHA MEDICAL CORPORATION
415 ROLLING OAKS DR
SUITE 210
THOUSAND OAKS, CA91361-1029
 Phone: 323-857-1682
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AVIISHA MEDICAL CORPORATION

NPI Number 1477780229
LBN Legal business name AVIISHA MEDICAL CORPORATION
Authorized official ABRAHAM ISHAAYA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2009
Last updated 06/23/2009 - About 17 years ago
Identifiers
CA License # 859439
CA License # G71854
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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