San Fernando Mission Medical Grp in Panorama City - Medical Genetics, Ph.d. Medical Genetics

San Fernando Mission Medical Grp - NPI 1215991278

San Fernando Mission Medical Grp is a Medical Genetics, Ph.d. Medical Genetics in Panorama City, California. San Fernando Mission Medical Grp practices all healthcare services and medical treatments related to Medical Genetics, Ph.d. Medical Genetics. The NPI Number for San Fernando Mission Medical Grp is 1215991278. The last update date is 2011-10-19.

San Fernando Mission Medical Grp's current location address is 8215 Van Nuys Blvd, Panorama City, California. You can contact this provider via phone number 8187824325 and fax number 8187827320. The mailing address for San Fernando Mission Medical Grp is 8215 Van Nuys Blvd, Panorama City, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Fernando Mission Medical Grp
Address 8215 Van Nuys Blvd, Panorama City, California
Phone Number 8187824325
Fax Number 8187827320
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Grey Dy Erlinda
Credentials M.D.
Telephone Number 8187824325

NPI Number Detail

NPI Number 1215991278
Provider Enumeration Date 2006-04-14
Last Updated Date 2011-10-19

Provider Mailing Address Detail

Address 8215 Van Nuys Blvd
City Panorama City
State California (CA)
Post Code 914024810
Phone Number 8187824325
Fax Number 8187827320

Provider's Primary Taxonomy Detail

Speciality Medical Genetics, Ph.d. Medical Genetics
Taxonomy 170100000X
Licence No A30427
Definition:
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0059210 CA --

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FAQs about San Fernando Mission Medical Grp

What is the unique provider identifier assigned to San Fernando Mission Medical Grp?

The San Fernando Mission Medical Grp has been issued the NPI (National Provider Identifier) 1215991278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where San Fernando Mission Medical Grp is physically located?

The San Fernando Mission Medical Grp is situated at the following address: 8215 Van Nuys Blvd, Panorama City, CA 914024810.

What is the San Fernando Mission Medical Grp's specialty and taxonomy code?

The San Fernando Mission Medical Grp's specialty is Medical Genetics, Ph.d. Medical Genetics, and the corresponding taxonomy code is 170100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1215991278 to San Fernando Mission Medical Grp?

The Centers for Medicare & Medicaid Services assigned the 1215991278 to San Fernando Mission Medical Grp on 2006-04-14.

As of what date were the details pertaining to San Fernando Mission Medical Grp last refreshed?

The information related to the San Fernando Mission Medical Grp, including its address, specialty, and other relevant details, was last updated on 2011-10-19.

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