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Contact Information

HARRY S MENCO MD , INC
227 W JANSS RD
SUITE 310
THOUSAND OAKS, CA91360-1848
 Phone: 805-496-2949
 Fax: 805-496-1844
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for HARRY S MENCO MD , INC

NPI Number 1629386594
LBN Legal business name HARRY S MENCO MD , INC
Authorized official NICOLE MCCRACKEN - (MEDICAL ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2010
Last updated 09/14/2010 - About 16 years ago
Identifiers
CA License # A41745
CA Other A41745 PTAN
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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