Cmg Medical Group Inc

LBN: Cmg Medical Group Inc
Cmg Medical Group Inc is an health care organization with primary practice located at 1555 Higuera St , San Luis Obispo CA 93401-2917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cmg Medical Group Inc can be contacted via phone (805) 543-4043, or through Goodman, Steven B via phone (805) 543-4043.

Contact Information

Primary practice address
1555 Higuera St San Luis Obispo CA 93401-2917
Phone: (805) 543-4043
Fax: (805) 543-4427
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Steven B Doctor of Medicine (MD)
Phone: (805) 543-4043

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C1935201 California

Profile Details

NPI number 1447207535
LBN Legal business name Cmg Medical Group Inc
DBA Doing business as
Authorized official Goodman, Steven B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Mar 18th, 2011 - about 14 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 1447207535 NPPES
California MEDICAID GR0069893
California Other ZZZ0515Z

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