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
Phone: (714) 537-5160
Fax:
Website:
Authorized official contact:
Name: Pham, Tam-Nguyen Thi Doctor of Medicine (MD)
Phone: (714) 636-0343
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1447306543 | NPPES |
California | MEDICAID | 00G816250 |
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