South Bristol Medical Group
LBN: Mansoor Mosley Md
South Bristol Medical Group is an health care organization with primary practice located at 1220 Hemlock Way Ste 104 , Santa Ana CA 92707-3651. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Mansoor Mosley Md can be contacted via phone (714) 754-5400, or through Mosley, Mansoor via phone (714) 754-5400.
Contact Information
Primary practice address
1220 Hemlock Way Ste 104
Santa Ana CA 92707-3651
Phone: (714) 754-5400
Fax: (714) 754-6836
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | A41405 | California |
Profile Details
NPI number | 1124158324 |
---|---|
LBN Legal business name | Mansoor Mosley Md |
DBA Doing business as | South Bristol Medical Group |
Authorized official | Mosley, Mansoor Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 6th, 2007 |
Last updated | Nov 20th, 2012 - about 13 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 | 1124158324 | NPPES |
California | MEDICAID | 00A414050 CA |
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