Friendly Ob Gyn Medical Group Inc

LBN: Friendly Ob Gyn Medical Group Inc
Friendly Ob Gyn Medical Group Inc is an health care organization with primary practice located at 12810 Heacock St Ste B105 , Moreno Valley CA 92553-3171. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Friendly Ob Gyn Medical Group Inc can be contacted via phone (951) 485-9133, or through Dixit, Sudhakar via phone (951) 485-9133.

Contact Information

Primary practice address
12810 Heacock St Ste B105 Moreno Valley CA 92553-3171
Fax:
Website:
Authorized official contact:
Name: Dixit, Sudhakar Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G71778

Profile Details

NPI number 1821081647
LBN Legal business name Friendly Ob Gyn Medical Group Inc
DBA Doing business as
Authorized official Dixit, Sudhakar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2005
Last updated Jan 13th, 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 1821081647 NPPES
California MEDICAID GR0089982
California MEDICAID GR0089980
California MEDICAID GR0089981

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