Great Care Medical Group

LBN: Benjamin Behroozan Md Inc
Great Care Medical Group is an health care organization with primary practice located at 5255 W Sunset Blvd , Los Angeles CA 90027-5716. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Benjamin Behroozan Md Inc can be contacted via phone (323) 463-7262, or through Behroozan, Benjamin via phone (323) 463-7262.

Contact Information

Primary practice address
5255 W Sunset Blvd Los Angeles CA 90027-5716
Fax:
Website:
Authorized official contact:
Name: Behroozan, Benjamin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X A41374 California

Profile Details

NPI number 1194949180
LBN Legal business name Benjamin Behroozan Md Inc
DBA Doing business as Great Care Medical Group
Authorized official Behroozan, Benjamin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Dec 30th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194949180 NPPES
California MEDICAID GR0026800

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