Mangil Seo Md Pc

LBN: Mangil Seo Md Pc
Mangil Seo Md Pc is an health care organization with primary practice located at 4505 Sw 9Th St , Des Moines IA 50315-3939. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mangil Seo Md Pc can be contacted via phone (515) 287-7777, or through Seo, Mangil via phone (515) 287-7111.

Contact Information

Primary practice address
4505 Sw 9Th St Des Moines IA 50315-3939
Phone: (515) 287-7777
Fax: (515) 287-7114
Website:
Map and Directions
Authorized official contact:
Name: Seo, Mangil Doctor of Medicine (MD)
Phone: (515) 287-7111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 19652 Iowa

Profile Details

NPI number 1649451857
LBN Legal business name Mangil Seo Md Pc
DBA Doing business as
Authorized official Seo, Mangil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2007
Last updated Nov 15th, 2007 - about 17 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 1649451857 NPPES
Iowa MEDICAID 3080598

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