Prospect Professional Care Medical Group, Inc.

LBN: Prospect Professional Care Medical Group, Inc.
Prospect Professional Care Medical Group, Inc. is an health care organization with primary practice located at 1920 E 17Th St Suite 200, Santa Ana CA 92705-8626. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Prospect Professional Care Medical Group, Inc. can be contacted via phone (714) 796-5900, or through Kam, Lily via phone (714) 796-5900.

Contact Information

Primary practice address
1920 E 17Th St Suite 200 Santa Ana CA 92705-8626
Phone: (714) 796-5900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kam, Lily
Phone: (714) 796-5900

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1043331614
LBN Legal business name Prospect Professional Care Medical Group, Inc.
DBA Doing business as
Authorized official Kam, Lily
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Feb 27th, 2009 - about 15 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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