Simi Family Medical Group

LBN: Simi Family Medical Group
Simi Family Medical Group is an health care organization with primary practice located at 2750 Sycamore Dr , Simi Valley CA 93065-1502. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Simi Family Medical Group can be contacted via phone (805) 527-9140, or through Takeda, Daniel via phone (805) 527-9140.

Contact Information

Primary practice address
2750 Sycamore Dr Simi Valley CA 93065-1502
Phone: (805) 527-9140
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Takeda, Daniel Doctor of Medicine (MD)
Phone: (805) 527-9140

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G54086 California

Profile Details

NPI number 1689896375
LBN Legal business name Simi Family Medical Group
DBA Doing business as
Authorized official Takeda, Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 4 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 1689896375 NPPES
California MEDICAID GR0065680

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