Provider Demographics
NPI:1982117289
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:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-721-4000
Mailing Address - Street 1:3142 VISTA WAY STE 206
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3628
Mailing Address - Country:US
Mailing Address - Phone:760-721-4000
Mailing Address - Fax:760-721-4005
Practice Address - Street 1:25411 CABOT ROAD
Practice Address - Street 2:SUITE 116
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:760-721-4000
Practice Address - Fax:760-721-4005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty