Advanced Ob/Gyn Medical Group
LBN: Advanced Ob/Gyn & Infertility Medical Group Inc
Advanced Ob/Gyn Medical Group is an health care organization with primary practice located at 24502 Pacific Park Dr Suite 105, Aliso Viejo CA 92656-3033. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Advanced Ob/Gyn & Infertility Medical Group Inc can be contacted via phone (949) 362-1515, or through Ghodsian, Kamran via phone (949) 362-1515.
Contact Information
Primary practice address
24502 Pacific Park Dr Suite 105
Aliso Viejo CA 92656-3033
Phone: (949) 362-1515
Fax: (949) 362-7548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1154432607 |
|---|---|
| LBN Legal business name | Advanced Ob/Gyn & Infertility Medical Group Inc |
| DBA Doing business as | Advanced Ob/Gyn Medical Group |
| Authorized official | Ghodsian, Kamran Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154432607 | NPPES |
| California | MEDICAID | GR0050350 | |
| California | MEDICAID | GR0050351 | |
| California | Other | ZZZ29048Z |
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