Modern Concepts Medical Group
LBN: Modern Concepts Medical Group
Modern Concepts Medical Group is an health care organization with primary practice located at 50 Bellefontaine St 404, Pasadena CA 91105-3132. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Modern Concepts Medical Group can be contacted via phone (323) 728-6070, or through Herrera, Margaret via phone (323) 728-6070.
Contact Information
Primary practice address
50 Bellefontaine St 404
Pasadena CA 91105-3132
Phone: (323) 728-6070
Fax: (323) 728-2912
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | California |
Profile Details
NPI number | 1194930420 |
---|---|
LBN Legal business name | Modern Concepts Medical Group |
DBA Doing business as | |
Authorized official | Herrera, Margaret Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 11th, 2007 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194930420 | NPPES |
California | Other | 05D0936983 | CLIA WAIVER |
California | MEDICAID | 6495234 | CLIA WAIVER |
California | MEDICAID | GR0084064 | CLIA WAIVER |
California | Other | 1346358827 | CLIA WAIVER |
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