Good Shepherd Medical Clinic, Inc

LBN: Good Shepherd Medical Clinic, Inc
Good Shepherd Medical Clinic, Inc is an health care organization with primary practice located at 661 W 1St St Ste G , Tustin CA 92780-2939. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Good Shepherd Medical Clinic, Inc can be contacted via phone (714) 665-9890, or through Beshay, Isaac N via phone (714) 665-9890.

Contact Information

Primary practice address
661 W 1St St Ste G Tustin CA 92780-2939
Phone: (714) 665-9890
Fax: (714) 665-9891
Website:
Map and Directions
Authorized official contact:
Name: Beshay, Isaac N Doctor of Medicine (MD)
Phone: (714) 665-9890

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A89039 California

Profile Details

NPI number 1427336791
LBN Legal business name Good Shepherd Medical Clinic, Inc
DBA Doing business as
Authorized official Beshay, Isaac N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2011
Last updated Sep 19th, 2011 - about 13 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 1427336791 NPPES
California Other ZZZ67227Y BLUE SHIELD OF CALIFORNIA

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