Pacific Coast Family Medical Group
LBN: Genesis Family Care Medical Group, Inc.
Pacific Coast Family Medical Group is an health care organization with primary practice located at 1101 N Sepulveda Blvd Ste 102 , Manhattan Beach CA 90266-5962. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty.
Genesis Family Care Medical Group, Inc. can be contacted via phone (310) 545-6627, or through J., Ronald Ruby via phone (310) 545-6627.
Contact Information
Primary practice address
1101 N Sepulveda Blvd Ste 102
Manhattan Beach CA 90266-5962
Phone: (310) 545-6627
Fax: (310) 545-0352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | G34101 | California |
Profile Details
| NPI number | 1467640409 |
|---|---|
| LBN Legal business name | Genesis Family Care Medical Group, Inc. |
| DBA Doing business as | Pacific Coast Family Medical Group |
| Authorized official | J., Ronald Ruby |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | May 29th, 2015 - about 9 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 | 1467640409 | NPPES |
| California | MEDICAID | GR0064100 |
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