Lighthouse Anesthesia Medical Group

LBN: Lighthouse Anesthesia Medical Group
Lighthouse Anesthesia Medical Group is an health care organization with primary practice located at 12601 Garden Grove Blvd , Garden Grove CA 92843-1908. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lighthouse Anesthesia Medical Group can be contacted via phone (714) 537-5160, or through Pham, Tam-Nguyen Thi via phone (714) 636-0343.

Contact Information

Primary practice address
12601 Garden Grove Blvd Garden Grove CA 92843-1908
Fax:
Website:
Authorized official contact:
Name: Pham, Tam-Nguyen Thi Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G81625 California

Profile Details

NPI number 1447306543
LBN Legal business name Lighthouse Anesthesia Medical Group
DBA Doing business as
Authorized official Pham, Tam-Nguyen Thi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Jun 27th, 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 1447306543 NPPES
California MEDICAID 00G816250

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