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Contact Information

ABC MEDICAL CLINIC, INC.
500 N GARFIELD AVE
SUITE 110A
MONTEREY PARK, CA91754-1242
 Phone: 626-282-4840
 Fax: 626-288-4820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ABC MEDICAL CLINIC, INC.

NPI Number 1013934082
LBN Legal business name ABC MEDICAL CLINIC, INC.
Authorized official JIAN YE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2006
Last updated 12/01/2014 - About 12 years ago
Identifiers
CA License # A63361
CA Medicaid 00A633640
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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