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CMG MEDICAL GROUP INC NPI 1558447813


NPI Information

NPI: 1558447813
Provider Name: CMG MEDICAL GROUP INC

Doing Business As: CMG MEDICAL GROUP INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2238 BAYVIEW HEIGHTS DR
SUITE G
LOS OSOS, CA
ZIP 93402
Phone: (805) 534-1305
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CMG MEDICAL GROUP INC is a family medicine in Los Osos, CA. The provider is 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. CMG MEDICAL GROUP INC NPI is 1558447813. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cmg Medical Group Inc.

The provider's business location address is:

2238 BAYVIEW HEIGHTS DR
SUITE G
LOS OSOS, CA
ZIP 93402-921
Phone: (805) 534-1305
Fax: (805) 534-1346

The provider's authorized official is Steven B Goodman .
The authorized official title is President and has the following contact phone number (805) 543-4043.

The enumeration date for this NPI number is 10/30/2006 and was last updated on 9/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC1935201CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0069891MEDICAIDCALIFORNIA
2W13933AMEDICARE PIN
3ZZZ54101ZOTHERCALIFORNIABLUE SHIELD OF CA
4CH6045MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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