Av Occupational Medicine

LBN: Daniel O. Mongiano, Md, A Professional Medical Corporation
Av Occupational Medicine is an health care organization with primary practice located at 42220 10Th St W Ste 109, Lancaster CA 93534-7075. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Daniel O. Mongiano, Md, A Professional Medical Corporation can be contacted via phone (661) 951-9195, or through Bahlman, Jackie via phone (661) 951-9195.

Contact Information

Primary practice address
42220 10Th St W Ste 109 Lancaster CA 93534-7075
Phone: (661) 951-9195
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bahlman, Jackie
Phone: (661) 951-9195

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A54903 California

Profile Details

NPI number 1982629853
LBN Legal business name Daniel O. Mongiano, Md, A Professional Medical Corporation
DBA Doing business as Av Occupational Medicine
Authorized official Bahlman, Jackie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 18th, 2014 - about 10 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 1982629853 NPPES
California MEDICAID 00A549030

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