Lassen Medical Group

LBN: Lassen Medical Group
Lassen Medical Group is an health care organization with primary practice located at 702 Solano Street , Corning CA 96021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lassen Medical Group can be contacted via phone (530) 824-9590, or through Hake, Kim via phone (530) 528-4419.

Contact Information

Primary practice address
702 Solano Street Corning CA 96021
Phone: (530) 824-9590
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hake, Kim
Phone: (530) 528-4419

Health care specialties

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

Profile Details

NPI number 1013056910
LBN Legal business name Lassen Medical Group
DBA Doing business as
Authorized official Hake, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Oct 8th, 2007 - about 17 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 1013056910 NPPES
California MEDICAID GR0089251
California MEDICAID RHM53956F

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