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
Phone: (888) 664-8297
Fax: (801) 650-6861
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427502079 | NPPES |
California | MEDICAID | 1911036 |
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