South Coast Eye Care Centers A Comp Ophthalmology Medical Grp Inc.

LBN: South Coast Eye Care Centers A Comp Ophthalmology Medical Grp Inc.
South Coast Eye Care Centers A Comp Ophthalmology Medical Grp Inc. is an health care organization with primary practice located at 23961 Calle De La Magdalena Ste. 302, Laguna Hills CA 92653-3616. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. South Coast Eye Care Centers A Comp Ophthalmology Medical Grp Inc. can be contacted via phone (949) 588-2020, or through Henrick, Andrew via phone (949) 588-2020.

Contact Information

Primary practice address
23961 Calle De La Magdalena Ste. 302 Laguna Hills CA 92653-3616
Phone: (949) 588-2020
Fax: (949) 588-0336
Website:
Map and Directions
Authorized official contact:
Name: Henrick, Andrew Doctor of Medicine (MD)
Phone: (949) 588-2020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G36573 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G73434 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A77935 California

Profile Details

NPI number 1063459725
LBN Legal business name South Coast Eye Care Centers A Comp Ophthalmology Medical Grp Inc.
DBA Doing business as
Authorized official Henrick, Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 15th, 2010 - about 15 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 1063459725 NPPES
California MEDICAID GR0102520

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