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Contact Information

AMBOSELI MEDICAL AND WELLNESS CTR
8320 FENTON STREET SUITE 122
SILVER SPRING, MD20910
 Phone: 301-660-3035
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for AMBOSELI MEDICAL AND WELLNESS CTR

NPI # 1942544887
LBN Legal business name AMBOSELI MEDICAL AND WELLNESS CTR
Authorized official RAPHAEL LOUTOBY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2012
Last updated 11/15/2012 - About 14 years ago
Identifiers
MD License # D0070195
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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