NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

1ST INDUSTRIAL MEDICAL GROUP
1234 W CHAPMAN AVE
SUITE 204
ORANGE, CA92868-2862
 Phone: 714-289-4693
 Fax: 714-289-4698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Chiropractor

111N00000X 35 Chiropractic
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for 1ST INDUSTRIAL MEDICAL GROUP

NPI Number 1689863995
LBN Legal business name 1ST INDUSTRIAL MEDICAL GROUP
Authorized official MARK BENNALLACK - (CO OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2007
Last updated 06/24/2008 - About 11 years ago
Identifiers n/a
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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