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Contact Information

BOSTON MEDICAL GROUP CALIFORNIA LLC
207 S SANTA ANITA AVE
P25A
SAN GABRIEL, CA91776
 Phone: 615-562-4578
 Fax: 423-949-3992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for BOSTON MEDICAL GROUP CALIFORNIA LLC

NPI # 1851799001
LBN Legal business name BOSTON MEDICAL GROUP CALIFORNIA LLC
Authorized official JOAN SIMPSON - (DIRECTOR OF CQRM)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2014
Last updated 12/19/2014 - About 11 years ago
Identifiers
CA License # G9455
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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