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:
Health care specialties
Specialty | Code | License # | 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 16 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 | 1609817626 | NPPES |
California | MEDICAID | GR0084350 | |
California | Other | GR0084350 |
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