| Healthcare Providers Of California Medical Group, Inc | |
|
24425 Woolsey Canyon Rd #11 Canoga Park CA 91304-1131 | |
| (818) 713-1115 | |
| (818) 713-1116 |
| Full Name | Healthcare Providers Of California Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 24425 Woolsey Canyon Rd, Canoga Park, California |
| Authorized Official Name and Position | Edward John Giaquinto (PRESIDENT) |
| Authorized Official Contact | 8184212799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Providers Of California Medical Group, Inc 24425 Woolsey Canyon Rd #11 Canoga Park CA 91304-1131 Ph: (818) 713-1115 | Healthcare Providers Of California Medical Group, Inc 24425 Woolsey Canyon Rd #11 Canoga Park CA 91304-1131 Ph: (818) 713-1115 |
| NPI Number | 1376574285 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376574285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A51621 (California) | Primary |
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