Prospera Group Corp

LBN: Prospera Group Corp
Prospera Group Corp is an health care organization with primary practice located at 3831 Hughes Ave Suite 602, Culver City CA 90232-2751. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Prospera Group Corp can be contacted via phone (310) 204-6897, or through Keynigshteyn, Rena via phone (310) 204-6897.

Contact Information

Primary practice address
3831 Hughes Ave Suite 602 Culver City CA 90232-2751
Phone: (310) 204-6897
Fax: (310) 204-4690
Website:
Map and Directions
Authorized official contact:
Name: Keynigshteyn, Rena Doctor of Medicine (MD)
Phone: (310) 204-6897

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1285711937
LBN Legal business name Prospera Group Corp
DBA Doing business as
Authorized official Keynigshteyn, Rena Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 26th, 2013 - about 12 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 1285711937 NPPES
California MEDICAID 1285711937
California Other 1285711937

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