Your Community Medical Group Inc
LBN: Your Community Medical Group Inc
Your Community Medical Group Inc is an health care organization with primary practice located at 6300 Florence Ave , Bell Gardens CA 90201-8900. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Your Community Medical Group Inc can be contacted via phone (562) 928-9700, or through Mcmillan, Samuel Leroy via phone (562) 928-9700.
Contact Information
Primary practice address
6300 Florence Ave
Bell Gardens CA 90201-8900
Phone: (562) 928-9700
Fax: (562) 928-8300
Website:
Authorized official contact:
Name: Mcmillan, Samuel Leroy Doctor of Medicine (MD)
Phone: (562) 928-9700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | C39834 | California |
Profile Details
| NPI number | 1558660126 |
|---|---|
| LBN Legal business name | Your Community Medical Group Inc |
| DBA Doing business as | |
| Authorized official | Mcmillan, Samuel Leroy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2011 |
| Last updated | Mar 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558660126 | NPPES |
| California | Other | C39834 | STATE LIC NUMBER |
| California | MEDICAID | 00C398340 | STATE LIC NUMBER |
| California | MEDICAID | 00C398341 | STATE LIC NUMBER |
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