Mayflower Medical Group, Inc.

LBN: Mayflower Medical Group, Inc.
Mayflower Medical Group, Inc. is an health care organization with primary practice located at 140 N Orange Ave. Suite 100, West Covina CA 91790-2032. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mayflower Medical Group, Inc. can be contacted via phone (626) 800-1200, or through Fuentes, Araceli via phone (626) 800-1200.

Contact Information

Primary practice address
140 N Orange Ave. Suite 100 West Covina CA 91790-2032
Phone: (626) 800-1200
Fax: (626) 962-2471
Website:
Map and Directions
Authorized official contact:
Name: Fuentes, Araceli
Phone: (626) 800-1200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A46009 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1003188160
LBN Legal business name Mayflower Medical Group, Inc.
DBA Doing business as
Authorized official Fuentes, Araceli
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2012
Last updated Jan 28th, 2021 - about 3 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 1003188160 NPPES
California MEDICAID 6409040

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