Pacific Shores Medical Group, Inc

LBN: Pacific Shores Medical Group, Inc
Pacific Shores Medical Group, Inc is an health care organization with primary practice located at 19582 Beach Blvd Ste 212, Huntington Beach CA 92648-2996. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Pacific Shores Medical Group, Inc can be contacted via phone (714) 252-9415, or through Tchekmedyian, Nerses Simon via phone (562) 590-0345.

Contact Information

Primary practice address
19582 Beach Blvd Ste 212 Huntington Beach CA 92648-2996
Phone: (714) 252-9415
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tchekmedyian, Nerses Simon Doctor of Medicine (MD)
Phone: (562) 590-0345

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1598814634
LBN Legal business name Pacific Shores Medical Group, Inc
DBA Doing business as
Authorized official Tchekmedyian, Nerses Simon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Apr 12th, 2016 - about 8 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 1598814634 NPPES
California MEDICAID GR0065542

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