Crown City Medical Group Inc

LBN: Crown City Medical Group Inc
Crown City Medical Group Inc is an health care organization with primary practice located at 6601 Rugby Ave # 300, Huntington Park CA 90255-4040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Crown City Medical Group Inc can be contacted via phone (323) 582-1177, or through Tyson, Maureen via phone (626) 798-8792.

Contact Information

Primary practice address
6601 Rugby Ave # 300 Huntington Park CA 90255-4040
Phone: (323) 582-1177
Fax: (323) 589-2635
Website:
Map and Directions
Authorized official contact:
Name: Tyson, Maureen
Phone: (626) 798-8792

Health care specialties

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

Profile Details

NPI number 1508989500
LBN Legal business name Crown City Medical Group Inc
DBA Doing business as
Authorized official Tyson, Maureen
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508989500 NPPES
California Other GR0041811 MEDI-CAL PROVIDER #

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