Illumination Foundation Medical Group

LBN: Clarke Lew Medical Corp
Illumination Foundation Medical Group is an health care organization with primary practice located at 3535 W Commonwealth Ave , Fullerton CA 92833-2821. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Clarke Lew Medical Corp can be contacted via phone (949) 273-0555, or through Silver, Erika Lynne via phone (949) 273-0555.

Contact Information

Primary practice address
3535 W Commonwealth Ave Fullerton CA 92833-2821
Phone: (949) 273-0555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Silver, Erika Lynne PHD
Phone: (949) 273-0555

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dental Providers / Dentist 122300000X
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1205444742
LBN Legal business name Clarke Lew Medical Corp
DBA Doing business as Illumination Foundation Medical Group
Authorized official Silver, Erika Lynne PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2020
Last updated Jan 27th, 2021 - about 3 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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