123 Medical Group Corp.

LBN: 123 Medical Group Corp.
123 Medical Group Corp. is an health care organization with primary practice located at 18800 Amar Rd Ste C12 , Walnut CA 91789-4561. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. 123 Medical Group Corp. can be contacted via phone (626) 788-9691, or through Chang, Allan C via phone (626) 889-6917.

Contact Information

Primary practice address
18800 Amar Rd Ste C12 Walnut CA 91789-4561
Phone: (626) 788-9691
Fax: (626) 608-0318
Website:
Map and Directions
Authorized official contact:
Name: Chang, Allan C LAC, DOM, DAOM
Phone: (626) 889-6917

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1588029771
LBN Legal business name 123 Medical Group Corp.
DBA Doing business as
Authorized official Chang, Allan C LAC, DOM, DAOM
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2015
Last updated Aug 9th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588029771 NPPES
Other 1588029771 FAMILY MEDICINE

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