Sand Canyon Medical Group

LBN: Sand Canyon Medical Group
Sand Canyon Medical Group is an health care organization with primary practice located at 16100 Sand Canyon Ave Suite 150, Irvine CA 92618-3716. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Sand Canyon Medical Group can be contacted via phone (949) 417-0272, or through Mullarky, Matthew via phone (949) 417-0272.

Contact Information

Primary practice address
16100 Sand Canyon Ave Suite 150 Irvine CA 92618-3716
Phone: (949) 417-0272
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mullarky, Matthew Doctor of Medicine (MD)
Phone: (949) 417-0272

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1962688390
LBN Legal business name Sand Canyon Medical Group
DBA Doing business as
Authorized official Mullarky, Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Aug 13th, 2008 - about 18 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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