Amigo Medical Group, Inc.

LBN: Amigo Medical Group, Inc.
Amigo Medical Group, Inc. is an health care organization with primary practice located at 386 E H St Suite 210, Chula Vista CA 91910-7485. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Amigo Medical Group, Inc. can be contacted via phone (619) 427-5053, or through Monahan, Sally Anderson via phone (619) 427-5053.

Contact Information

Primary practice address
386 E H St Suite 210 Chula Vista CA 91910-7485
Phone: (619) 427-5053
Fax: (619) 427-1437
Website:
Map and Directions
Authorized official contact:
Name: Monahan, Sally Anderson
Phone: (619) 427-5053

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X FNP 4774 California

Profile Details

NPI number 1528023306
LBN Legal business name Amigo Medical Group, Inc.
DBA Doing business as
Authorized official Monahan, Sally Anderson
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1528023306 NPPES
California MEDICAID GR0046550

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