Provider Demographics
NPI:1760057269
Name:HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Entity Type:Organization
Organization Name:HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENROLLMENT SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAUMBURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-525-3869
Mailing Address - Street 1:PO BOX 6400
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-0400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:310-783-5581
Practice Address - Street 1:40690 CALIFORNIA OAKS RD STE A
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-1948
Practice Address - Country:US
Practice Address - Phone:951-677-0098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies