is a Medical in Sherman Oaks, California. practices all healthcare services and medical treatments related to Medical. The NPI Number for is 1841340080. The last update date is .
's current location address is 4940 Van Nuys Blvd Ste 200, Sherman Oaks, California. You can contact this provider via phone number 8183802626 and fax number 8183802620. The mailing address for is 4940 Van Nuys Blvd Ste 200, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4940 Van Nuys Blvd Ste 200, Sherman Oaks, California |
| Phone Number | 8183802626 |
| Fax Number | 8183802620 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1841340080 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4940 Van Nuys Blvd Ste 200 |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 91403 |
| Phone Number | 8183802626 |
| Fax Number | 8183802620 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA13410 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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