123 Medical Group Corp. is a
Family Medicine based in Walnut, California. 123 Medical Group Corp. is licensed to practice in NU (license number ) and their current practice location is
18800 Amar Rd Ste C12, Walnut, California. It can be reached at their office (for appointments etc.) via phone at
(626) 788-9691.
NPI number for 123 Medical Group Corp. is 1588029771 and their current mailing address is 18800 Amar Rd Ste C12, Walnut, California. 123 Medical Group Corp.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1588029771.
Healthcare Provider's Profile
| Full Name | 123 Medical Group Corp. |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 18800 Amar Rd Ste C12, Walnut, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588029771
- Provider Enumeration Date: 12/15/2015
- Last Update Date: 08/09/2022
Medical Identifiers
Medical identifiers for 123 Medical Group Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588029771 | NPI | - | NPPES |
| 1588029771 | Other | | FAMILY MEDICINE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (NU) | Secondary |
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207V00000X | Obstetrics & Gynecology | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. 123 Medical Group Corp. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
123 Medical Group Corp.
18800 Amar Rd Ste C12,
Walnut, CA 91789-4561
Ph: (626) 788-9691 | 123 Medical Group Corp.
18800 Amar Rd Ste C12,
Walnut, CA 91789-4561
Ph: (626) 788-9691 |
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