San Miguel Medical Clinic, Inc

LBN: San Miguel Medical Clinic, Inc
San Miguel Medical Clinic, Inc is an health care organization with primary practice located at 8204 Long Beach Blvd Suite B, South Gate CA 90280-2011. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. San Miguel Medical Clinic, Inc can be contacted via phone (323) 588-3300, or through Salama, Naim via phone (323) 588-3300.

Contact Information

Primary practice address
8204 Long Beach Blvd Suite B South Gate CA 90280-2011
Phone: (323) 588-3300
Fax: (323) 588-0855
Website:
Map and Directions
Authorized official contact:
Name: Salama, Naim Doctor of Medicine (MD)
Phone: (323) 588-3300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X FNP14677 California

Profile Details

NPI number 1801992565
LBN Legal business name San Miguel Medical Clinic, Inc
DBA Doing business as
Authorized official Salama, Naim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1801992565 NPPES
California MEDICAID GR0066650

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