Mission Plaza Medical Group

LBN: Mission Plaza Medical Group
Mission Plaza Medical Group is an health care organization with primary practice located at 11550 Indian Hills Rd Ste 380, Mission Hills CA 91345. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mission Plaza Medical Group can be contacted via phone (818) 361-5311, or through Palazzolo, Michael via phone (818) 361-5311.

Contact Information

Primary practice address
11550 Indian Hills Rd Ste 380 Mission Hills CA 91345
Phone: (818) 361-5311
Fax: (818) 837-0042
Website:
Map and Directions
Authorized official contact:
Name: Palazzolo, Michael Doctor of Medicine (MD)
Phone: (818) 361-5311

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A33998 California

Profile Details

NPI number 1538283379
LBN Legal business name Mission Plaza Medical Group
DBA Doing business as
Authorized official Palazzolo, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 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 1538283379 NPPES
Other 1942274212 NPI
MEDICAID 00A339980 NPI

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