Mandegar Medical Corp

LBN: Mandegar Medical Corp
Mandegar Medical Corp is an health care organization with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty. Mandegar Medical Corp can be contacted via phone (888) 664-8297, or through Mandegar, Mehran via phone (888) 664-8297.

Contact Information

Primary practice address
5555 Grossmont Center Dr La Mesa CA 91942-3019
Fax: (801) 650-6861
Website:
Authorized official contact:
Name: Mandegar, Mehran Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X A63770 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X A63770 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A63770 California

Profile Details

NPI number 1427502079
LBN Legal business name Mandegar Medical Corp
DBA Doing business as
Authorized official Mandegar, Mehran Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2016
Last updated Aug 12th, 2016 - about 8 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 1427502079 NPPES
California MEDICAID 1911036

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