Anaheim Primary Care Medical Clinic

LBN: Consultants For Concept Development
Anaheim Primary Care Medical Clinic is an health care organization with primary practice located at 1723 W Ball Rd , Anaheim CA 92804-5502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Consultants For Concept Development can be contacted via phone (714) 635-0363, or through Junsay, Candice Lee via phone (714) 635-0363.

Contact Information

Primary practice address
1723 W Ball Rd Anaheim CA 92804-5502
Phone: (714) 635-0363
Fax: (714) 772-2994
Website:
Map and Directions
Authorized official contact:
Name: Junsay, Candice Lee PH.D
Phone: (714) 635-0363

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BUS007-02128 California

Profile Details

NPI number 1982886230
LBN Legal business name Consultants For Concept Development
DBA Doing business as Anaheim Primary Care Medical Clinic
Authorized official Junsay, Candice Lee PH.D
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 28th, 2007
Last updated Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982886230 NPPES
California MEDICAID 00A481003

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