Provider Demographics
NPI:1508333238
Name:CBI MEDICAL CENTERS, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:CBI MEDICAL CENTERS, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BOHM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-294-4866
Mailing Address - Street 1:801 E BIRCH ST STE 5
Mailing Address - Street 2:
Mailing Address - City:CALEXICO
Mailing Address - State:CA
Mailing Address - Zip Code:92231-5925
Mailing Address - Country:US
Mailing Address - Phone:760-357-0337
Mailing Address - Fax:866-678-5321
Practice Address - Street 1:801 E BIRCH ST STE 5
Practice Address - Street 2:
Practice Address - City:CALEXICO
Practice Address - State:CA
Practice Address - Zip Code:92231-5925
Practice Address - Country:US
Practice Address - Phone:760-357-0337
Practice Address - Fax:866-678-5321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service