Oceanside Medical Group, A Medical Corporation

LBN: Oceanside Medical Group, A Medical Corporation
Oceanside Medical Group, A Medical Corporation is an health care organization with primary practice located at 701 Santa Monica Blvd Suite 230, Santa Monica CA 90401-2623. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Oceanside Medical Group, A Medical Corporation can be contacted via phone (310) 993-4103, or through Johnson, Gadson J via phone (310) 993-4103.

Contact Information

Primary practice address
701 Santa Monica Blvd Suite 230 Santa Monica CA 90401-2623
Phone: (310) 993-4103
Fax: (805) 494-8385
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Gadson J Doctor of Medicine (MD)
Phone: (310) 993-4103

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X

Profile Details

NPI number 1861770513
LBN Legal business name Oceanside Medical Group, A Medical Corporation
DBA Doing business as
Authorized official Johnson, Gadson J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2011
Last updated Jul 29th, 2011 - about 13 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 1861770513 NPPES
California Other FNP41555 FNP

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