Granada Family Medical Group | |
17701 Chatsworth St Granada Hills CA 91344-5604 | |
(818) 363-3121 | |
(818) 366-1728 |
Full Name | Granada Family Medical Group |
---|---|
Speciality | Family Medicine |
Location | 17701 Chatsworth St, Granada Hills, California |
Authorized Official Name and Position | Sekilar Rudra Sabaratnam (PRESIDENT) |
Authorized Official Contact | 8183633121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Granada Family Medical Group 17701 Chatsworth St Granada Hills CA 91344-5604 Ph: (818) 363-3121 | Granada Family Medical Group 17701 Chatsworth St Granada Hills CA 91344-5604 Ph: (818) 363-3121 |
NPI Number | 1336206036 |
---|---|
Provider Enumeration Date | 01/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336206036 | NPI | - | NPPES |
GR0007030 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A29353 (* (Not Available)) | Primary |
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