Bristol Mcfadden Medical Group,Inc.
LBN: Bristol Mcfadden Medical Group,Inc.
Bristol Mcfadden Medical Group,Inc. is an health care organization with primary practice located at 1212 S Bristol St Suite 16, Santa Ana CA 92704-3476. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Bristol Mcfadden Medical Group,Inc. can be contacted via phone (714) 966-0646, or through Chai, Kasin Ekmaha via phone (714) 966-0646.
Contact Information
Primary practice address
1212 S Bristol St Suite 16
Santa Ana CA 92704-3476
Phone: (714) 966-0646
Fax: (714) 966-2438
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X |
Profile Details
| NPI number | 1003902610 |
|---|---|
| LBN Legal business name | Bristol Mcfadden Medical Group,Inc. |
| DBA Doing business as | |
| Authorized official | Chai, Kasin Ekmaha Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 23rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003902610 | NPPES |
| California | MEDICAID | GR0009850 |
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