Clinica Medica San Miguel Ipa, A Medical Group, Inc.

LBN: Clinica Medica San Miguel Ipa, A Medical Group, Inc.
Clinica Medica San Miguel Ipa, A Medical Group, Inc. is an health care organization with primary practice located at 2360 Huntington Dr Ste 201 , San Marino CA 91108-2651. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Clinica Medica San Miguel Ipa, A Medical Group, Inc. can be contacted via phone (626) 656-2370, or through Pham, Lan N via phone (626) 656-2370.

Contact Information

Primary practice address
2360 Huntington Dr Ste 201 San Marino CA 91108-2651
Phone: (626) 656-2370
Fax: (626) 248-9060
Website:
Map and Directions
Authorized official contact:
Name: Pham, Lan N MPH
Phone: (626) 656-2370

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1447445200
LBN Legal business name Clinica Medica San Miguel Ipa, A Medical Group, Inc.
DBA Doing business as
Authorized official Pham, Lan N MPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2007
Last updated Sep 13th, 2007 - about 17 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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