Great Care Medical Group

LBN: Benjamin Behroozan M D Inc
Great Care Medical Group is an health care organization with primary practice located at 2221 Lincoln Blvd Suite 200, Santa Monica CA 90405-1320. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Benjamin Behroozan M D Inc can be contacted via phone (310) 396-9999, or through Behroozan, Benjamin via phone (310) 396-9999.

Contact Information

Primary practice address
2221 Lincoln Blvd Suite 200 Santa Monica CA 90405-1320
Phone: (310) 396-9999
Fax: (310) 664-8901
Website:
Map and Directions
Authorized official contact:
Name: Behroozan, Benjamin Doctor of Medicine (MD)
Phone: (310) 396-9999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A41374 California

Profile Details

NPI number 1639234362
LBN Legal business name Benjamin Behroozan M D Inc
DBA Doing business as Great Care Medical Group
Authorized official Behroozan, Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Jul 18th, 2011 - about 14 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 1639234362 NPPES
California MEDICAID GR0026800

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