Advanced Family Care Medical Group Inc

LBN: Advanced Family Care Medical Group Inc
Advanced Family Care Medical Group Inc is an health care organization with primary practice located at 2704 W Manchester Blvd , Inglewood CA 90305-2436. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Advanced Family Care Medical Group Inc can be contacted via phone (323) 778-4310, or through Diop, Abdoulaye via phone (323) 588-0084.

Contact Information

Primary practice address
2704 W Manchester Blvd Inglewood CA 90305-2436
Fax:
Website:
Authorized official contact:
Name: Diop, Abdoulaye

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X A33986 California
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X NMW1068 California
Ambulatory Health Care Facilities / Primary Care 261QP2300X G42217 California
Ambulatory Health Care Facilities / Primary Care 261QP2300X PA12322 California

Profile Details

NPI number 1730372038
LBN Legal business name Advanced Family Care Medical Group Inc
DBA Doing business as
Authorized official Diop, Abdoulaye
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 21st, 2007 - about 17 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 1730372038 NPPES
California MEDICAID GR0077510

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