Medical Group Associates Inc

LBN: Medical Group Associates Inc
Medical Group Associates Inc is an health care organization with primary practice located at 8501 Wilshire Blvd 316, Beverly Hills CA 90211-3101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Medical Group Associates Inc can be contacted via phone (310) 652-2255, or through Jacobs, Ivan Richard via phone (310) 652-2255.

Contact Information

Primary practice address
8501 Wilshire Blvd 316 Beverly Hills CA 90211-3101
Fax: (310) 652-3580
Website:
Authorized official contact:
Name: Jacobs, Ivan Richard Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X C27493 California

Profile Details

NPI number 1245317411
LBN Legal business name Medical Group Associates Inc
DBA Doing business as
Authorized official Jacobs, Ivan Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 25th, 2008 - about 16 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 1245317411 NPPES
California Other ZZZ87633Z BLUE SHIELD
California MEDICAID GR0006640 BLUE SHIELD

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