Mc Medical Clinic

LBN: Mc Medical Clinic
Mc Medical Clinic is an health care organization with primary practice located at 12100 Imperial Hwy Suite 102, Norwalk CA 90650-3081. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Mc Medical Clinic can be contacted via phone (562) 929-4894, or through Collantes, Melchor via phone (562) 929-4894.

Contact Information

Primary practice address
12100 Imperial Hwy Suite 102 Norwalk CA 90650-3081
Fax: (562) 929-6555
Website:
Authorized official contact:
Name: Collantes, Melchor Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X A37955 California
Managed Care Organizations / Health Maintenance Organization 302R00000X A37955 California
Managed Care Organizations / Preferred Provider Organization 305R00000X A37955 California
Managed Care Organizations / Point of Service 305S00000X A37955 California

Profile Details

NPI number 1790901361
LBN Legal business name Mc Medical Clinic
DBA Doing business as
Authorized official Collantes, Melchor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1790901361 NPPES
California Other N96343 BLUE CROSS PCP

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