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
Fax: (323) 728-2912
Website:
Authorized official contact:
Name: Herrera, Margaret Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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