Metropolitan Family Medical Clinic

LBN: San Marcos Medical Group Inc.
Metropolitan Family Medical Clinic is an health care organization with primary practice located at 1574 W Base Line St , San Bernardino CA 92411-1736. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. San Marcos Medical Group Inc. can be contacted via phone (909) 881-7320, or through Gonzalez, Sandra via phone (909) 376-4438.

Contact Information

Primary practice address
1574 W Base Line St San Bernardino CA 92411-1736
Phone: (909) 881-7320
Fax: (909) 881-7330
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Sandra
Phone: (909) 376-4438

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1184674830
LBN Legal business name San Marcos Medical Group Inc.
DBA Doing business as Metropolitan Family Medical Clinic
Authorized official Gonzalez, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Apr 29th, 2022 - about 2 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 1184674830 NPPES
California MEDICAID 1295384428
California Other CA482046

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