Mona Lisa Medical Group, Inc

LBN: Mona Lisa Medical Group, Inc
Mona Lisa Medical Group, Inc is an health care organization with primary practice located at 14856 Vanowen St , Van Nuys CA 91405-3828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Mona Lisa Medical Group, Inc can be contacted via phone (818) 281-3935, or through Marsh, Alva via phone (818) 281-3935.

Contact Information

Primary practice address
14856 Vanowen St Van Nuys CA 91405-3828
Phone: (818) 281-3935
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Marsh, Alva Doctor of Medicine (MD)
Phone: (818) 281-3935

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1447909106
LBN Legal business name Mona Lisa Medical Group, Inc
DBA Doing business as
Authorized official Marsh, Alva Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2022
Last updated Mar 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 1447909106 NPPES
California Other C22547 MEDICAL LICENSE

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