Casa Guadalupe Family Medical Clinic

LBN: Casa Guadalupe Family Medical Clinic
Casa Guadalupe Family Medical Clinic is an health care organization with primary practice located at 2015 W 1St St Ste K , Santa Ana CA 92703-3516. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Casa Guadalupe Family Medical Clinic can be contacted via phone (714) 547-7745, or through Garrett, Nancy via phone (213) 923-4074.

Contact Information

Primary practice address
2015 W 1St St Ste K Santa Ana CA 92703-3516
Phone: (714) 547-7745
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garrett, Nancy
Phone: (213) 923-4074

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 166649 California

Profile Details

NPI number 1487799185
LBN Legal business name Casa Guadalupe Family Medical Clinic
DBA Doing business as
Authorized official Garrett, Nancy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Feb 12th, 2008 - about 16 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 1487799185 NPPES
California MEDICAID GR0063230

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