ST BISHOY MEDICAL GROUP


Address: 8545 Saturn St Apt 103, Los Angeles, CA 90035-3658
Phone: 3105927856

ST BISHOY MEDICAL GROUP (NPI# 1851913917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851913917
Entity Type Organization
Organization Name ST BISHOY MEDICAL GROUP
Practice Address 8545 Saturn St Apt 103
Los Angeles
CA 90035-3658
Practice Telephone 3105927856
Enumeration Date 2020-05-12
Last Update Date 2020-05-12
Authorized Official Name BISHOY G KAMEL (CEO)
Authorized Official Telephone 3107109102
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA DEA FK7828239 01

Office Location

Street Address 8545 SATURN ST APT 103
City LOS ANGELES
State CA
Zip Code 90035-3658

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90035

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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