05D0577528 CLIA NUMBER - HOAG MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0577528

Facility Name: HOAG MEDICAL GROUP

Facility Address:
19582 BEACH BLVD STE 360
HUNTINGTON BEACH, CA
ZIP 92648
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Facility Phone Number: 949 791-3065

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558611632

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0577528
LAB Type	Physician Office
Facility Name	HOAG MEDICAL GROUP
Street	19582 BEACH BLVD STE 360
City	HUNTINGTON BEACH
State	CA
ZIP	92648
Phone	949 791-3065
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024