Southstate Medical Incorporated

LBN: Southstate Medical Incorporated
Southstate Medical Incorporated is an health care organization with primary practice located at 1043 Civic Center Drive West , Santa Ana CA 92703. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Southstate Medical Incorporated can be contacted via phone (949) 401-2014, or through Aden, Amanda via phone (949) 401-2014.

Contact Information

Primary practice address
1043 Civic Center Drive West Santa Ana CA 92703
Phone: (949) 401-2014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Aden, Amanda Physician Assistant (PA)
Phone: (949) 401-2014

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1760248900
LBN Legal business name Southstate Medical Incorporated
DBA Doing business as Southstate Medical Incorporated
Authorized official Aden, Amanda Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2024
Last updated Jun 27th, 2024 - about 6 months 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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