Mfa Medical Group @ El Portal
LBN: Merced Faculty Associates Medical Group Incorporated
Mfa Medical Group @ El Portal is an health care organization with primary practice located at 3385 G St Ste A , Merced CA 95340-0964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Merced Faculty Associates Medical Group Incorporated can be contacted via phone (209) 725-3122, or through Shaw, Rebecca via phone (209) 723-1920.
Contact Information
Primary practice address
3385 G St Ste A
Merced CA 95340-0964
Phone: (209) 725-3122
Fax: (209) 725-3128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1699974220 |
|---|---|
| LBN Legal business name | Merced Faculty Associates Medical Group Incorporated |
| DBA Doing business as | Mfa Medical Group @ El Portal |
| Authorized official | Shaw, Rebecca |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jul 15th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699974220 | NPPES |
| California | Other | ZZZ69713Z | BLUE SHIELD GROUP |
| California | Other | CS1342 | BLUE SHIELD GROUP |
| California | MEDICAID | GR0041487 | BLUE SHIELD GROUP |
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