Maternal Fetal Medicine Medical Group Of Southern California

LBN: Maternal Fetal Medicine Medical Group Of Southern California
Maternal Fetal Medicine Medical Group Of Southern California is an health care organization with primary practice located at 207 S. Santa Anita Street Suite 338, Sangabriel CA 91776-1160. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Other Service Providers / Specialist. Other Service Providers / Specialist is the primary health care specialty. Maternal Fetal Medicine Medical Group Of Southern California can be contacted via phone (626) 282-9250, or through Karimi, Ardeshir via phone (626) 282-9250.

Contact Information

Primary practice address
207 S. Santa Anita Street Suite 338 Sangabriel CA 91776-1160
Fax: (626) 282-9953
Website:
Authorized official contact:
Name: Karimi, Ardeshir Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X A50980 California
Other Service Providers / Specialist 174400000X A50980
Other Service Providers / Specialist 174400000X A50980 California

Profile Details

NPI number 1598040784
LBN Legal business name Maternal Fetal Medicine Medical Group Of Southern California
DBA Doing business as
Authorized official Karimi, Ardeshir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2011
Last updated Oct 19th, 2011 - about 14 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 1598040784 NPPES
California MEDICAID 6727433

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