Elite Diagnostic And Medical Group
LBN: Elite Diagnostic And Medical Group
Elite Diagnostic And Medical Group is an health care organization with primary practice located at 885 S Atlantic Blvd , Monterey Park CA 91754-4733. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Elite Diagnostic And Medical Group can be contacted via phone (626) 281-9111, or through Lee, William via phone (626) 281-9111.
Contact Information
Primary practice address
885 S Atlantic Blvd
Monterey Park CA 91754-4733
Phone: (626) 281-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1285667063 |
|---|---|
| LBN Legal business name | Elite Diagnostic And Medical Group |
| DBA Doing business as | |
| Authorized official | Lee, William Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Aug 24th, 2010 - about 14 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 | 1285667063 | NPPES |
| California | MEDICAID | 00AX55190 | |
| California | Other | ZZZ131022 | |
| California | MEDICAID | 00AX80950 | |
| California | MEDICAID | GR0101100 |
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