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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720077852 | NPPES |
| California | MEDICAID | 00A385440 |
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