101 Family Medical Group,a Professional Corp

NPI 1174856348 - Clinic/Center - 261QP2300X

NPI Details
NPI 1174856348
Enumeration Date 09/06/2009
Last Updated 04/07/2011
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name HESSAM HESSAM
Position MEDICAL DIRECTOR
Phone (818) 312-9101
Fax (818) 312-9100
Practice Location
22030 SHERMAN WAY STE 101
CANOGA PARK CA, 91303-1844, US
Phone (818) 312-9101
Fax (818) 312-9100
Business Location
7201 ROCKRIDGE TER
WEST HILLS CA, 91307-1265, US
Phone (818) 312-9101
Fax (818) 312-9100
Toxanomy
Taxonomy Code 261QP2300X
License State California
License Number A85704
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According to our database, 101 Family Medical Group,a Professional Corp NPI is 1174856348, taxonomy code is 261QP2300X and license number is A85704, license state is located at California. 101 Family Medical Group,a Professional Corp physically located at 22030 Sherman Way Ste 101, Canoga Park CA, 91303-1844. NPI Number 1033115704 has the healthcare provider type.

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1174856348 NPI number is provided on an as is basis without warranty of any kind. 1174856348 is maintained by the National Plan & Provider Enumeration System. The contents of 101 Family Medical Group,a Professional Corp are for informational purposes only.