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 3208 Santa Anita Ave # 200, El Monte CA 91733-1360. 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 (626) 454-1990, or through Tyson, Maureen B. via phone (626) 798-8792.

Contact Information

Primary practice address
3208 Santa Anita Ave # 200 El Monte CA 91733-1360
Phone: (626) 454-1990
Fax: (626) 454-1995
Website:
Map and Directions
Authorized official contact:
Name: Tyson, Maureen B.
Phone: (626) 798-8792

Health care specialties

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

Profile Details

NPI number 1619090610
LBN Legal business name Crown City Medical Group Inc.
DBA Doing business as
Authorized official Tyson, Maureen B.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1619090610 NPPES
California Other GR0041812 MEDI-CAL PROVIDER #

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