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 1902 Royalty Dr Ste 290, Pomona CA 91767-3030. 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 (909) 397-9007, or through Marshak, Herbert via phone (310) 474-9809.
Contact Information
Primary practice address
1902 Royalty Dr Ste 290
Pomona CA 91767-3030
Phone: (909) 397-9007
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Non-Pharmacy Dispensing Site | 332900000X |
Profile Details
NPI number | 1639460066 |
---|---|
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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