Memorial Family Medicine Medical Group, Inc.
LBN: San Clemente Family Medicine
Memorial Family Medicine Medical Group, Inc. is an health care organization with primary practice located at 1300 Avenida Vista Hermosa Suite 200, San Clemente CA 92673-6315. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
San Clemente Family Medicine can be contacted via phone (949) 452-3199, or through Melvin, Susan Yvonne via phone (562) 933-0055.
Contact Information
Primary practice address
1300 Avenida Vista Hermosa Suite 200
San Clemente CA 92673-6315
Phone: (949) 452-3199
Fax: (949) 218-6866
Website:
Authorized official contact:
Name: Melvin, Susan Yvonne Doctor of Osteopathy (DO)
Phone: (562) 933-0055
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1154642452 |
|---|---|
| LBN Legal business name | San Clemente Family Medicine |
| DBA Doing business as | Memorial Family Medicine Medical Group, Inc. |
| Authorized official | Melvin, Susan Yvonne Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 21st, 2010 |
| Last updated | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154642452 | NPPES |
| California | MEDICAID | GR0071000 |
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