St Nicholas Medical Group

LBN: St Nicholas Medical Group
St Nicholas Medical Group is an health care organization with primary practice located at 5520 Santa Monica Blvd Suite 112, Los Angeles CA 90038-2932. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. St Nicholas Medical Group can be contacted via phone (323) 860-9054, or through Flores, Jacob N via phone (323) 860-9054.

Contact Information

Primary practice address
5520 Santa Monica Blvd Suite 112 Los Angeles CA 90038-2932
Phone: (323) 860-9054
Fax: (323) 860-9053
Website:
Map and Directions
Authorized official contact:
Name: Flores, Jacob N Doctor of Medicine (MD)
Phone: (323) 860-9054

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A60865 California

Profile Details

NPI number 1891026100
LBN Legal business name St Nicholas Medical Group
DBA Doing business as
Authorized official Flores, Jacob N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2010
Last updated Aug 26th, 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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