El Portal Medical Oncology Center

LBN: Merced Faculty Associates Medical Group Incorporated
El Portal Medical Oncology Center is an health care organization with primary practice located at 3365 G St , Merced CA 95340-0994. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as the primary health care specialty. Merced Faculty Associates Medical Group Incorporated can be contacted via phone (209) 726-3410, or through Shaw, Rebecca via phone (209) 723-1920.

Contact Information

Primary practice address
3365 G St Merced CA 95340-0994
Phone: (209) 726-3410
Fax: (209) 726-3371
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Rebecca
Phone: (209) 723-1920

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X

Profile Details

NPI number 1538300660
LBN Legal business name Merced Faculty Associates Medical Group Incorporated
DBA Doing business as El Portal Medical Oncology Center
Authorized official Shaw, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2009
Last updated Jul 15th, 2014 - about 11 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 1538300660 NPPES
California Other ZZZ57772Y BLUE SHIELD PIN
California MEDICAID 1538300660 BLUE SHIELD PIN

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