Ocean Breeze Medical Group, Inc.

LBN: Ocean Breeze Medical Group, Inc.
Ocean Breeze Medical Group, Inc. is an health care organization with primary practice located at 150 Avenida Cabrillo Ste A , San Clemente CA 92672-5595. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Ocean Breeze Medical Group, Inc. can be contacted via phone (949) 369-6993, or through Davalos, Ricardo via phone (949) 369-6993.

Contact Information

Primary practice address
150 Avenida Cabrillo Ste A San Clemente CA 92672-5595
Phone: (949) 369-6993
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davalos, Ricardo Doctor of Medicine (MD)
Phone: (949) 369-6993

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A065157 California

Profile Details

NPI number 1386790400
LBN Legal business name Ocean Breeze Medical Group, Inc.
DBA Doing business as
Authorized official Davalos, Ricardo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Dec 13th, 2010 - about 14 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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