Bolsa Medical Group

LBN: Bolsa Medical Group
Bolsa Medical Group is an health care organization with primary practice located at 10362 Bolsa Ave , Westminster CA 92683-6763. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Bolsa Medical Group can be contacted via phone (714) 531-2091, or through Pham, Co D C via phone (714) 531-2091.

Contact Information

Primary practice address
10362 Bolsa Ave Westminster CA 92683-6763
Phone: (714) 531-2091
Fax: (714) 531-1403
Website:
Map and Directions
Authorized official contact:
Name: Pham, Co D C Doctor of Medicine (MD)
Phone: (714) 531-2091

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1992732192
LBN Legal business name Bolsa Medical Group
DBA Doing business as
Authorized official Pham, Co D C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 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 1992732192 NPPES
California MEDICAID GR0061390

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