Centoc Medical Group Inc

LBN: Centoc Medical Group Inc
Centoc Medical Group Inc is an health care organization with primary practice located at 1201 W La Veta Ave Suite 604, Orange CA 92868-4213. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Centoc Medical Group Inc can be contacted via phone (714) 633-4020, or through Barretto, Roberto via phone (714) 633-4020.

Contact Information

Primary practice address
1201 W La Veta Ave Suite 604 Orange CA 92868-4213
Phone: (714) 633-4020
Fax: (714) 633-4846
Website:
Map and Directions
Authorized official contact:
Name: Barretto, Roberto Doctor of Medicine (MD)
Phone: (714) 633-4020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1356401160
LBN Legal business name Centoc Medical Group Inc
DBA Doing business as
Authorized official Barretto, Roberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Aug 20th, 2007 - about 19 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 1356401160 NPPES
California MEDICAID GR0103190

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