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Contact Information

DEGUZMAN MEDICAL CORPORATION
1525 SUPERIOR AVE
SUITE 200
NEWPORT BEACH, CA92663
 Phone: 949-650-0506
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DEGUZMAN MEDICAL CORPORATION

NPI Number 1245438787
LBN Legal business name DEGUZMAN MEDICAL CORPORATION
Authorized official LINO DEGUZMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2007
Last updated 05/02/2014 - About 12 years ago
Identifiers
CA License # A046594
CA Medicaid GR0087281
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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