Life Medical Group, Inc

LBN: Life Medical Group, Inc
Life Medical Group, Inc is an health care organization with primary practice located at 1900 S Brea Canyon Rd Unit B , Diamond Bar CA 91765-4059. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Life Medical Group, Inc can be contacted via phone (626) 913-1116, or through Yoo, Sung J via phone (626) 913-1116.

Contact Information

Primary practice address
1900 S Brea Canyon Rd Unit B Diamond Bar CA 91765-4059
Phone: (626) 913-1116
Fax: (626) 913-1261
Website:
Map and Directions
Authorized official contact:
Name: Yoo, Sung J Doctor of Medicine (MD)
Phone: (626) 913-1116

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G78232 California

Profile Details

NPI number 1942290903
LBN Legal business name Life Medical Group, Inc
DBA Doing business as
Authorized official Yoo, Sung J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Jun 26th, 2024 - about last year

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 1942290903 NPPES
California MEDICAID GR0098190

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