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Contact Information

A.V. MERIDIEN MEDICAL GROUP, INC
1007 WEST AVE M-14
SUITE B-1
PALMDALE, CA93551
 Phone: 661-265-7019
 Fax: 661-265-7089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for A.V. MERIDIEN MEDICAL GROUP, INC

NPI Number 1023191780
LBN Legal business name A.V. MERIDIEN MEDICAL GROUP, INC
Authorized official LINDA MANN - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 11/04/2015 - About 11 years ago
Identifiers
CA License # A41776
CA Medicaid GR0071850
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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