Heacock Health Medical Group, Inc.

LBN: Heacock Health Medical Group, Inc.
Heacock Health Medical Group, Inc. is an health care organization with primary practice located at 13939 San Antonio Dr , Norwalk CA 90650-4036. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Heacock Health Medical Group, Inc. can be contacted via phone (562) 807-3777, or through Penunuri, Rafael A via phone (562) 716-4468.

Contact Information

Primary practice address
13939 San Antonio Dr Norwalk CA 90650-4036
Phone: (562) 807-3777
Fax: (562) 807-2333
Website:
Map and Directions
Authorized official contact:
Name: Penunuri, Rafael A Doctor of Medicine (MD)
Phone: (562) 716-4468

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1851989255
LBN Legal business name Heacock Health Medical Group, Inc.
DBA Doing business as
Authorized official Penunuri, Rafael A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2021
Last updated Jan 2nd, 2021 - about 4 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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