Oc Latino Medical Group Inc

LBN: Oc Latino Medical Group Inc
Oc Latino Medical Group Inc is an health care organization with primary practice located at 767 W 19Th Street 101, Costa Mesa CA 92627. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Oc Latino Medical Group Inc can be contacted via phone (949) 574-2121, or through Cilliani, Gaston F via phone (949) 574-2121.

Contact Information

Primary practice address
767 W 19Th Street 101 Costa Mesa CA 92627
Phone: (949) 574-2121
Fax: (949) 574-9358
Website:
Map and Directions
Authorized official contact:
Name: Cilliani, Gaston F Doctor of Medicine (MD)
Phone: (949) 574-2121

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A24756 California

Profile Details

NPI number 1609817626
LBN Legal business name Oc Latino Medical Group Inc
DBA Doing business as
Authorized official Cilliani, Gaston F Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Jun 24th, 2008 - about 17 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 1609817626 NPPES
California MEDICAID GR0084350
California Other GR0084350

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