Mt Mesa Medical Group

LBN: Jaime S. Lee Ho Md Inc.
Mt Mesa Medical Group is an health care organization with primary practice located at 4308 Birch Street , Lake Isabella CA 93240. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Jaime S. Lee Ho Md Inc. can be contacted via phone (760) 379-2426, or through Lee Ho, Jaime S. via phone (760) 379-2426.

Contact Information

Primary practice address
4308 Birch Street Lake Isabella CA 93240
Fax: (760) 379-2664
Website:
Authorized official contact:
Name: Lee Ho, Jaime S. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G43717 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A24547 California

Profile Details

NPI number 1629081997
LBN Legal business name Jaime S. Lee Ho Md Inc.
DBA Doing business as Mt Mesa Medical Group
Authorized official Lee Ho, Jaime S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2006
Last updated Sep 3rd, 2008 - about 16 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 1629081997 NPPES
California MEDICAID GR0022310

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