First Integrated Care Medical Group Inc

LBN: First Integrated Care Medical Group Inc
First Integrated Care Medical Group Inc is an health care organization with primary practice located at 1339 W Willow St , Long Beach CA 90810-3116. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. First Integrated Care Medical Group Inc can be contacted via phone (562) 492-6698, or through Tabila, Elnora T via phone (562) 492-6698.

Contact Information

Primary practice address
1339 W Willow St Long Beach CA 90810-3116
Phone: (562) 492-6698
Fax: (562) 492-9553
Website:
Map and Directions
Authorized official contact:
Name: Tabila, Elnora T Registered Nurse (RN)
Phone: (562) 492-6698

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A38544 California

Profile Details

NPI number 1720077852
LBN Legal business name First Integrated Care Medical Group Inc
DBA Doing business as
Authorized official Tabila, Elnora T Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2005
Last updated Mar 5th, 2021 - about 3 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 1720077852 NPPES
California MEDICAID 00A385440

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