1St Industrial Medical Group

LBN: 1St Industrial Medical Group
1St Industrial Medical Group is an health care organization with primary practice located at 1234 W Chapman Ave Suite 204, Orange CA 92868-2862. The organization recently has 8 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. 1St Industrial Medical Group can be contacted via phone (714) 289-4693, or through Bennallack, Mark W via phone (714) 289-4693.

Contact Information

Primary practice address
1234 W Chapman Ave Suite 204 Orange CA 92868-2862
Phone: (714) 289-4693
Fax: (714) 289-4698
Website:
Map and Directions
Authorized official contact:
Name: Bennallack, Mark W
Phone: (714) 289-4693

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1689863995
LBN Legal business name 1St Industrial Medical Group
DBA Doing business as
Authorized official Bennallack, Mark W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Jun 24th, 2008 - about 16 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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