South Bristol Medical Group

LBN: Mansoor Mosley Md
South Bristol Medical Group is an health care organization with primary practice located at 1220 Hemlock Way Ste 104 , Santa Ana CA 92707-3651. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mansoor Mosley Md can be contacted via phone (714) 754-5400, or through Mosley, Mansoor via phone (714) 754-5400.

Contact Information

Primary practice address
1220 Hemlock Way Ste 104 Santa Ana CA 92707-3651
Phone: (714) 754-5400
Fax: (714) 754-6836
Website:
Map and Directions
Authorized official contact:
Name: Mosley, Mansoor Doctor of Medicine (MD)
Phone: (714) 754-5400

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A41405 California

Profile Details

NPI number 1124158324
LBN Legal business name Mansoor Mosley Md
DBA Doing business as South Bristol Medical Group
Authorized official Mosley, Mansoor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Nov 20th, 2012 - about 14 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 1124158324 NPPES
California MEDICAID 00A414050 CA

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