Family Medical Group, A Professional Corporation

LBN: Family Medical Group, A Professional Corporation
Family Medical Group, A Professional Corporation is an health care organization with primary practice located at 1800 Sullivan Ave Rm 209 , Daly City CA 94015. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Family Medical Group, A Professional Corporation can be contacted via phone (650) 994-2300, or through Omachi, Ann via phone (650) 994-2300.

Contact Information

Primary practice address
1800 Sullivan Ave Rm 209 Daly City CA 94015
Fax: (650) 992-0122
Website:
Authorized official contact:
Name: Omachi, Ann Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G43405 California

Profile Details

NPI number 1184783136
LBN Legal business name Family Medical Group, A Professional Corporation
DBA Doing business as
Authorized official Omachi, Ann Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 30th, 2018 - about 6 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 1184783136 NPPES
California MEDICAID ZZZ837527

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