Provider Demographics
NPI:1760600092
Name:HEALTHFIRST MEDICAL GROUP OF SANTA FE SPRINGS
Entity Type:Organization
Organization Name:HEALTHFIRST MEDICAL GROUP OF SANTA FE SPRINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CROWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-926-3440
Mailing Address - Street 1:PO BOX 2867
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-0867
Mailing Address - Country:US
Mailing Address - Phone:562-926-3440
Mailing Address - Fax:562-926-9267
Practice Address - Street 1:13440 E. IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-4820
Practice Address - Country:US
Practice Address - Phone:562-926-3440
Practice Address - Fax:562-926-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine