Gm Sally Mellgren, M.D. Inc.
LBN: Gm Sally Mellgren, M.D. Inc.
Gm Sally Mellgren, M.D. Inc. is an health care organization with primary practice located at 3621 Vista Way , Oceanside CA 92056-4522. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Gm Sally Mellgren, M.D. Inc. can be contacted via phone (760) 757-1144, or through Roper, Joanne R via phone (760) 757-1144.
Contact Information
Primary practice address
3621 Vista Way
Oceanside CA 92056-4522
Phone: (760) 757-1144
Fax: (760) 721-7701
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G53485 | California |
Profile Details
NPI number | 1285637637 |
---|---|
LBN Legal business name | Gm Sally Mellgren, M.D. Inc. |
DBA Doing business as | |
Authorized official | Roper, Joanne R |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 31st, 2005 |
Last updated | Apr 25th, 2012 - about 12 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 | 1285637637 | NPPES |
California | MEDICAID | 00G534850 | |
California | Other | 33-0241763A | |
California | Other | ZZZ07175Z |
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