Exceptional Care Medical Group, Inc

NPI 1083838163 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1083838163
Enumeration Date 04/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MAXWELL MAXWELL
Position GROUP PRESIDENT
Phone (818) 461-5030
Fax (818) 461-5095
Practice Location
16030 VENTURA BLVD STE 200
ENCINO CA, 91436-2754, US
Phone (818) 461-5030
Fax (818) 461-5095
Business Location
16030 VENTURA BLVD STE 200
ENCINO CA, 91436-2754, US
Phone (818) 461-5030
Fax (818) 461-5095
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number G39164
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According to our database, Exceptional Care Medical Group, Inc NPI is 1083838163, taxonomy code is 302R00000X and license number is G39164, license state is located at California. Exceptional Care Medical Group, Inc physically located at 16030 Ventura Blvd Ste 200, Encino CA, 91436-2754. NPI Number 1033115704 has the healthcare provider type.

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1083838163 NPI number is provided on an as is basis without warranty of any kind. 1083838163 is maintained by the National Plan & Provider Enumeration System. The contents of Exceptional Care Medical Group, Inc are for informational purposes only.