Greater Valley Physicians Medical Group Inc

LBN: Greater Valley Physicians Medical Group Inc
Greater Valley Physicians Medical Group Inc is an health care organization with primary practice located at 2219 S Hacienda Blvd Suite 101, Hacienda Heights CA 91745-4639. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Greater Valley Physicians Medical Group Inc can be contacted via phone (626) 961-2461, or through Makandura, Lakshman via phone (626) 961-2461.

Contact Information

Primary practice address
2219 S Hacienda Blvd Suite 101 Hacienda Heights CA 91745-4639
Fax: (626) 330-5392
Website:
Authorized official contact:
Name: Makandura, Lakshman Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A49715 California

Profile Details

NPI number 1053500991
LBN Legal business name Greater Valley Physicians Medical Group Inc
DBA Doing business as
Authorized official Makandura, Lakshman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Mar 8th, 2013 - about 11 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 1053500991 NPPES
California MEDICAID 00A49715

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