Madison Park Family Medical

LBN: Madison Park Family Medical
Madison Park Family Medical is an health care organization with primary practice located at 1970 So Prospect Ave Suite 3, Redondo Beach CA 90277. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Madison Park Family Medical can be contacted via phone (310) 944-9344, or through Bayat, Neda via phone (310) 944-9344.

Contact Information

Primary practice address
1970 So Prospect Ave Suite 3 Redondo Beach CA 90277
Phone: (310) 944-9344
Fax: (310) 944-9390
Website:
Map and Directions
Authorized official contact:
Name: Bayat, Neda Doctor of Osteopathy (DO)
Phone: (310) 944-9344

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7340 California

Profile Details

NPI number 1760466700
LBN Legal business name Madison Park Family Medical
DBA Doing business as
Authorized official Bayat, Neda Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2005
Last updated Nov 13th, 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 1760466700 NPPES
Other W13994 GROUP MCARE

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