College Medical Group, Inc.
LBN: College Medical Group, Inc.
College Medical Group, Inc. is an health care organization with primary practice located at 611 S Main St Suite A, Santa Ana CA 92701-5715. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty.
College Medical Group, Inc. can be contacted via phone (714) 564-9323, or through Tongbai, Somsong Wattanasakul via phone (714) 564-9323.
Contact Information
Primary practice address
611 S Main St Suite A
Santa Ana CA 92701-5715
Phone: (714) 564-9323
Fax: (714) 973-8885
Website:
Authorized official contact:
Name: Tongbai, Somsong Wattanasakul Doctor of Medicine (MD)
Phone: (714) 564-9323
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | A31437 | California |
Profile Details
| NPI number | 1760532543 |
|---|---|
| LBN Legal business name | College Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Tongbai, Somsong Wattanasakul Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760532543 | NPPES |
| California | Other | 00A314370-151 | CALOPTIMA PROVIDER NUMBER |
| California | Other | GR0011541 | CALOPTIMA PROVIDER NUMBER |
| California | Other | GR0011541 | CALOPTIMA PROVIDER NUMBER |
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