Big Bear Lake Medical Group Inc

LBN: Big Bear Lake Medical Group Inc
Big Bear Lake Medical Group Inc is an health care organization with primary practice located at 41930 Garstin Dr , Big Bear Lake CA 92315. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Big Bear Lake Medical Group Inc can be contacted via phone (909) 866-6567, or through Norman, Michael via phone (909) 866-6567.

Contact Information

Primary practice address
41930 Garstin Dr Big Bear Lake CA 92315
Phone: (909) 866-6567
Fax: (909) 866-7030
Website:
Map and Directions
Authorized official contact:
Name: Norman, Michael Doctor of Osteopathy (DO)
Phone: (909) 866-6567

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20A6319 California

Profile Details

NPI number 1174783989
LBN Legal business name Big Bear Lake Medical Group Inc
DBA Doing business as
Authorized official Norman, Michael Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2008
Last updated Sep 9th, 2008 - 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 1174783989 NPPES
California MEDICAID 00AX63190

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