Professional Services Medical Group Inc

LBN: All Care Medical Group Inc
Professional Services Medical Group Inc is an health care organization with primary practice located at 2675 E Slauson Avenue Professional Services Medical Group Inc, Huntington Park CA 90255. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. All Care Medical Group Inc can be contacted via phone (323) 589-6681, or through Rotenberg, Samuel via phone (323) 589-6681.

Contact Information

Primary practice address
2675 E Slauson Avenue Professional Services Medical Group Inc Huntington Park CA 90255
Phone: (323) 589-6681
Fax: (323) 589-4903
Website:
Map and Directions
Authorized official contact:
Name: Rotenberg, Samuel Doctor of Medicine (MD)
Phone: (323) 589-6681

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1093860314
LBN Legal business name All Care Medical Group Inc
DBA Doing business as Professional Services Medical Group Inc
Authorized official Rotenberg, Samuel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Sep 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093860314 NPPES
California MEDICAID GR0029130
California MEDICAID GR0029133
California MEDICAID GR0029131

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