College Medical Group, Inc. in Santa Ana - Clinic/center
College Medical Group, Inc. - NPI 1760532543
College Medical Group, Inc. is a Clinic/center in Santa Ana, California. College Medical Group, Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for College Medical Group, Inc. is 1760532543. The last update date is 2020-08-22.
College Medical Group, Inc.'s current location address is 611 S Main St, Santa Ana, California. You can contact this provider via phone number 7145649323 and fax number 7149738885. The mailing address for College Medical Group, Inc. is 611 S Main St, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | College Medical Group, Inc. |
|---|---|
| Address | 611 S Main St, Santa Ana, California |
| Phone Number | 7145649323 |
| Fax Number | 7149738885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tongbai Wattanasak Somsong |
| Credentials | M.D. |
| Telephone Number | 7145649323 |
NPI Number Detail
| NPI Number | 1760532543 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 611 S Main St |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927015715 |
| Phone Number | 7145649323 |
| Fax Number | 7149738885 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | A31437 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A314370-151 | CA | CALOPTIMA PROVIDER NUMBER | |
| GR0011541 | CA | CHDP PROVIDER NUMBER | |
| GR0011541 | CA | MEDI-CAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to College Medical Group, Inc.?
The College Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1760532543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the College Medical Group, Inc. located?
The College Medical Group, Inc. is located at 611 S Main St, Santa Ana, CA 927015715.
What is the area of specialization for College Medical Group, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for College Medical Group, Inc. is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date was the 1760532543 assigned to College Medical Group, Inc.?
The College Medical Group, Inc. was issued its 1760532543 on 2007-01-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding College Medical Group, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to College Medical Group, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.