Good Life Medical Group, Inc.
LBN: Good Life Medical Group, Inc.
Good Life Medical Group, Inc. is an health care organization with primary practice located at 3650 South St Ste 204, Lakewood CA 90712-1521. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Good Life Medical Group, Inc. can be contacted via phone (562) 602-8841, or through Hugh, Peter via phone (562) 602-8841.
Contact Information
Primary practice address
3650 South St Ste 204
Lakewood CA 90712-1521
Phone: (562) 602-8841
Fax: (562) 602-8843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A6005 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A050818 | California |
Profile Details
| NPI number | 1316940828 |
|---|---|
| LBN Legal business name | Good Life Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Hugh, Peter Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Nov 14th, 2010 - about 14 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 | 1316940828 | NPPES |
| California | MEDICAID | GR0092320 |
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