Basic Information
| Provider Information | |||||||||
| NPI: | 1982117289 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALTH LINK MEDICAL GROUP INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3142 VISTA WAY STE 206 | ||||||||
| Address2: | |||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920563628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607214000 | ||||||||
| FaxNumber: | 7607214005 | ||||||||
| Practice Location | |||||||||
| Address1: | 25411 CABOT ROAD | ||||||||
| Address2: | SUITE 116 | ||||||||
| City: | LAGUNA HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92653 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607214000 | ||||||||
| FaxNumber: | 7607214005 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2017 | ||||||||
| LastUpdateDate: | 11/08/2017 | ||||||||
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| AuthorizedOfficialLastName: | PHILLIPS | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
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| AuthorizedOfficialTitleorPosition: | CONTROLLER | ||||||||
| AuthorizedOfficialTelephone: | 7607214000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2500X | Y | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No ID Information.