Madison Park Family Medical Group, Inc.
LBN: Madison Park Family Medical Group, Inc.
Madison Park Family Medical Group, Inc. is an health care organization with primary practice located at 1970 So Prospect Ave Ste 3, Redondo Beach CA 90277. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Madison Park Family Medical Group, Inc. can be contacted via phone (310) 944-9344, or through Anorga, Eduardo J via phone (310) 944-9344.
Contact Information
Primary practice address
1970 So Prospect Ave Ste 3
Redondo Beach CA 90277
Phone: (310) 944-9344
Fax: (310) 944-9390
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G56001 | California |
Profile Details
NPI number | 1932184223 |
---|---|
LBN Legal business name | Madison Park Family Medical Group, Inc. |
DBA Doing business as | |
Authorized official | Anorga, Eduardo J Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 9th, 2005 |
Last updated | Aug 13th, 2015 - about 9 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 | 1932184223 | NPPES |
Other | W13994 | GROUP M CARE # |
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