Zacoalco Medical Group Inc

LBN: Zacoalco Medical Group Inc
Zacoalco Medical Group Inc is an health care organization with primary practice located at 5901 Niles St A, Bakersfield CA 93306-4780. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Zacoalco Medical Group Inc can be contacted via phone (166) 136-3723, or through De La Rosa, Saul via phone (323) 588-1383.

Contact Information

Primary practice address
5901 Niles St A Bakersfield CA 93306-4780
Phone: (166) 136-3723
Fax:
Website:
Map and Directions
Authorized official contact:
Name: De La Rosa, Saul PAC
Phone: (323) 588-1383

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G75144 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X California

Profile Details

NPI number 1679626170
LBN Legal business name Zacoalco Medical Group Inc
DBA Doing business as
Authorized official De La Rosa, Saul PAC
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 19th, 2007
Last updated Mar 9th, 2018 - about 8 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 1679626170 NPPES
California MEDICAID GR0080241

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