Dba Mission Medical Group

LBN: San Fernando Mission Medical Grp
Dba Mission Medical Group is an health care organization with primary practice located at 8215 Van Nuys Blvd 210-204, Panorama City CA 91402-4810. The organization recently has only one registered license in Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, which is considered as the primary health care specialty. San Fernando Mission Medical Grp can be contacted via phone (818) 782-4325, or through Grey, Erlinda Dy via phone (818) 782-4325.

Contact Information

Primary practice address
8215 Van Nuys Blvd 210-204 Panorama City CA 91402-4810
Phone: (818) 782-4325
Fax: (818) 782-7320
Website:
Map and Directions
Authorized official contact:
Name: Grey, Erlinda Dy Doctor of Medicine (MD)
Phone: (818) 782-4325

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X A30427 California

Profile Details

NPI number 1215991278
LBN Legal business name San Fernando Mission Medical Grp
DBA Doing business as Dba Mission Medical Group
Authorized official Grey, Erlinda Dy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Oct 19th, 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 1215991278 NPPES
California MEDICAID GR0059210

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