Champion Medical Group, A Medical Corporation

LBN: Champion Medical Group, A Medical Corporation
Champion Medical Group, A Medical Corporation is an health care organization with primary practice located at 1206 E 17Th St Ste 106, Santa Ana CA 92701-2641. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Champion Medical Group, A Medical Corporation can be contacted via phone (714) 210-8848, or through Marshak, Herbert via phone (714) 210-8848.

Contact Information

Primary practice address
1206 E 17Th St Ste 106 Santa Ana CA 92701-2641
Phone: (714) 210-8848
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marshak, Herbert Doctor of Medicine (MD)
Phone: (714) 210-8848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1386935716
LBN Legal business name Champion Medical Group, A Medical Corporation
DBA Doing business as
Authorized official Marshak, Herbert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 19th, 2011
Last updated Oct 5th, 2015 - about 9 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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