Primelife Medical Group, Inc.

LBN: Mc Ibanez Medical Corporation
Primelife Medical Group, Inc. is an health care organization with primary practice located at 8100 Timberlake Way Suite C, Sacramento CA 95823-5409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mc Ibanez Medical Corporation can be contacted via phone (916) 681-5000, or through Ibanez, Caesar Locsin via phone (916) 681-5000.

Contact Information

Primary practice address
8100 Timberlake Way Suite C Sacramento CA 95823-5409
Phone: (916) 681-5000
Fax: (916) 681-5887
Website:
Map and Directions
Authorized official contact:
Name: Ibanez, Caesar Locsin
Phone: (916) 681-5000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A64505 California

Profile Details

NPI number 1629022561
LBN Legal business name Mc Ibanez Medical Corporation
DBA Doing business as Primelife Medical Group, Inc.
Authorized official Ibanez, Caesar Locsin
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated May 21st, 2012 - about 12 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 1629022561 NPPES
California MEDICAID 00A645050

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