Mesa Advantage Medical Group

LBN: Mesa Advantage Medical Group
Mesa Advantage Medical Group is an health care organization with primary practice located at 2295 Huntington Dr # D , San Marino CA 91108-2640. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Mesa Advantage Medical Group can be contacted via phone (626) 656-2370, or through Phan, Lan Nhu Bich via phone (818) 399-8996.

Contact Information

Primary practice address
2295 Huntington Dr # D San Marino CA 91108-2640
Phone: (626) 656-2370
Fax: (626) 248-9060
Website:
Map and Directions
Authorized official contact:
Name: Phan, Lan Nhu Bich
Phone: (818) 399-8996

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Managed Care Organizations / Exclusive Provider Organization 302F00000X A California

Profile Details

NPI number 1578017778
LBN Legal business name Mesa Advantage Medical Group
DBA Doing business as
Authorized official Phan, Lan Nhu Bich
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2016
Last updated Jul 21st, 2022 - about 2 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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