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Contact Information

HERNANDEZ & GRADY A MEDICAL CORPORATION
1850 SULLIVAN AVE
#300
DALY CITY, CA94015
 Phone: 650-991-3064
 Fax: 650-756-6610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for HERNANDEZ & GRADY A MEDICAL CORPORATION

NPI Number 1538265681
LBN Legal business name HERNANDEZ & GRADY A MEDICAL CORPORATION
Authorized official RAUL HERNANDEZ - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2006
Last updated 11/19/2007 - About 19 years ago
Identifiers
CA License # A605230
CA License # G673420
CA Medicaid GR0060000
CA Other ZZZ05676Z BLUE SHIELD
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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