St. Martin Family Medical Clinic, Inc. in Garden Grove - Point Of Service
St. Martin Family Medical Clinic, Inc. - NPI 1104044288
St. Martin Family Medical Clinic, Inc. is a Point Of Service in Garden Grove, California. St. Martin Family Medical Clinic, Inc. practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for St. Martin Family Medical Clinic, Inc. is 1104044288. The last update date is 2012-11-21.
St. Martin Family Medical Clinic, Inc.'s current location address is 12555 Garden Grove Blvd Ste 506, Garden Grove, California. You can contact this provider via phone number 7145373900 and fax number 7145377300. The mailing address for St. Martin Family Medical Clinic, Inc. is 12555 Garden Grove Blvd Ste 506, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Martin Family Medical Clinic, Inc. |
|---|---|
| Address | 12555 Garden Grove Blvd Ste 506, Garden Grove, California |
| Phone Number | 7145373900 |
| Fax Number | 7145377300 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECT OWN |
|---|---|
| Authorized Official Name | Nguyen Hung |
| Credentials | M.D |
| Telephone Number | 7145373900 |
NPI Number Detail
| NPI Number | 1104044288 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2012-11-21 |
Provider Mailing Address Detail
| Address | 12555 Garden Grove Blvd Ste 506 |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928431904 |
| Phone Number | 7145373900 |
| Fax Number | 7145377300 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | A61958 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A061958 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to St. Martin Family Medical Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The St. Martin Family Medical Clinic, Inc. has been issued the NPI (National Provider Identifier) 1104044288. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the St. Martin Family Medical Clinic, Inc. located?
The St. Martin Family Medical Clinic, Inc. is located at 12555 Garden Grove Blvd Ste 506, Garden Grove, CA 928431904.
What is St. Martin Family Medical Clinic, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for St. Martin Family Medical Clinic, Inc. is Point Of Service, and the taxonomy code that categorizes this field of expertise is 305S00000X.
On what date was the 1104044288 assigned to St. Martin Family Medical Clinic, Inc.?
The St. Martin Family Medical Clinic, Inc. was issued its 1104044288 on 2007-04-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding St. Martin Family Medical Clinic, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to St. Martin Family Medical Clinic, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-11-21.