La Magnolia Medical Group

LBN: La Magnolia Medical Group
La Magnolia Medical Group is an health care organization with primary practice located at 14571 Magnolia St. #210 , Westminster CA 92683. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. La Magnolia Medical Group can be contacted via phone (714) 894-3103, or through Nguyen Phuc, Yenchi via phone (714) 894-3103.

Contact Information

Primary practice address
14571 Magnolia St. #210 Westminster CA 92683
Phone: (714) 894-3103
Fax: (714) 894-6264
Website:
Map and Directions
Authorized official contact:
Name: Nguyen Phuc, Yenchi Doctor of Medicine (MD)
Phone: (714) 894-3103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A40020 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G63064 California

Profile Details

NPI number 1811006869
LBN Legal business name La Magnolia Medical Group
DBA Doing business as
Authorized official Nguyen Phuc, Yenchi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 14th, 2013 - about 12 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 1811006869 NPPES
California MEDICAID GR0093500

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