Great Spirit Medical Group,Inc

LBN: Great Spirit Medical Group,Inc
Great Spirit Medical Group,Inc is an health care organization with primary practice located at 9900 Balboa Blvd Suite A, Northridge CA 91325-5403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Great Spirit Medical Group,Inc can be contacted via phone (818) 701-0017, or through Miranda, Conrado J.R via phone (818) 701-0017.

Contact Information

Primary practice address
9900 Balboa Blvd Suite A Northridge CA 91325-5403
Phone: (818) 701-0017
Fax: (818) 701-0073
Website:
Map and Directions
Authorized official contact:
Name: Miranda, Conrado J.R Doctor of Medicine (MD)
Phone: (818) 701-0017

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A48817 California

Profile Details

NPI number 1407869928
LBN Legal business name Great Spirit Medical Group,Inc
DBA Doing business as
Authorized official Miranda, Conrado J.R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Nov 12th, 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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