Northwest Physicians Medical Group

LBN: Northwest Physicians Medical Group
Northwest Physicians Medical Group is an health care organization with primary practice located at 4770 W Herndon Ave , Fresno CA 93722-8401. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Northwest Physicians Medical Group can be contacted via phone (559) 271-6365, or through Jelinek, Lisa E via phone (559) 271-6365.

Contact Information

Primary practice address
4770 W Herndon Ave Fresno CA 93722-8401
Fax: (559) 271-6326
Website:
Authorized official contact:
Name: Jelinek, Lisa E

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1013983113
LBN Legal business name Northwest Physicians Medical Group
DBA Doing business as
Authorized official Jelinek, Lisa E
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 20th, 2007 - about 18 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 1013983113 NPPES
California Other CC6650 MEDICARE RR
California MEDICAID GR0064290 MEDICARE RR

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