Mansfield Professional Medical Corporation

LBN: Mansfield Professional Medical Corporation
Mansfield Professional Medical Corporation is an health care organization with primary practice located at 26520 Cactus Ave Rm# F2027, Moreno Valley CA 92555-3927. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Mansfield Professional Medical Corporation can be contacted via phone (951) 486-4574, or through Ma, Alfred C via phone (951) 486-4574.

Contact Information

Primary practice address
26520 Cactus Ave Rm# F2027 Moreno Valley CA 92555-3927
Phone: (951) 486-4574
Fax: (951) 486-4560
Website:
Map and Directions
Authorized official contact:
Name: Ma, Alfred C Doctor of Medicine (MD)
Phone: (951) 486-4574

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1407992969
LBN Legal business name Mansfield Professional Medical Corporation
DBA Doing business as
Authorized official Ma, Alfred C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 3rd, 2014 - about 10 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 1407992969 NPPES
California MEDICAID GR0086870

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