National Provider Identifier Database

BIG BEAR LAKE MEDICAL GROUP INC
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

BIG BEAR LAKE MEDICAL GROUP INC
41930 GARSTIN DR
BIG BEAR LAKE, CA92315
Phone: 909-866-6567
Fax: 909-866-7030
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for BIG BEAR LAKE MEDICAL GROUP INC

NPI Number 1174783989
Legal business name
LBN
BIG BEAR LAKE MEDICAL GROUP INC
Authorized official MICHAEL NORMAN - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 06/16/2008
Last updated 09/09/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 20A6319
  • CA Medicaid: 00AX63190

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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