Provider Demographics
NPI:1447787569
Name:HEALTH LINK MEDICAL GROUP INC
Entity Type:Organization
Organization Name:HEALTH LINK MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-721-4000
Mailing Address - Street 1:1125 S BEVERLY DR STE 720
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1180
Mailing Address - Country:US
Mailing Address - Phone:410-929-9790
Mailing Address - Fax:424-288-4205
Practice Address - Street 1:1125 S BEVERLY DR STE 720
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1180
Practice Address - Country:US
Practice Address - Phone:410-929-9790
Practice Address - Fax:424-288-4205
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH LINK MEDICAL GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-19
Last Update Date:2017-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty