Identity Medical Group, Inc.

LBN: Identity Medical Group, Inc.
Identity Medical Group, Inc. is an health care organization with primary practice located at 751 E Daily Dr Suite 120, Camarillo CA 93010-6076. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Identity Medical Group, Inc. can be contacted via phone (805) 256-7810, or through Deutsch,, Gary M. via phone (805) 256-7810.

Contact Information

Primary practice address
751 E Daily Dr Suite 120 Camarillo CA 93010-6076
Phone: (805) 256-7810
Fax: (805) 256-7840
Website:
Map and Directions
Authorized official contact:
Name: Deutsch,, Gary M. Doctor of Medicine (MD)
Phone: (805) 256-7810

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X California

Profile Details

NPI number 1326384512
LBN Legal business name Identity Medical Group, Inc.
DBA Doing business as
Authorized official Deutsch,, Gary M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2012
Last updated Nov 18th, 2016 - about 10 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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