Active Medical Group Of Northern Ca A Proffesional Corporation

LBN: Active Medical Group Of Northern Ca A Proffesional Corporation
Active Medical Group Of Northern Ca A Proffesional Corporation is an health care organization with primary practice located at 1800 Sullivan Ave Suite 504, Daly City CA 94015-2228. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Active Medical Group Of Northern Ca A Proffesional Corporation can be contacted via phone (650) 757-8900, or through Smith, George F via phone (650) 757-8900.

Contact Information

Primary practice address
1800 Sullivan Ave Suite 504 Daly City CA 94015-2228
Fax:
Website:
Authorized official contact:
Name: Smith, George F Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G59110 California

Profile Details

NPI number 1639254501
LBN Legal business name Active Medical Group Of Northern Ca A Proffesional Corporation
DBA Doing business as
Authorized official Smith, George F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 9th, 2017 - about 7 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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