Ltc Physicians, Llc | |
29830 Wisteria Valley Rd Santa Clarita CA 91387-1954 | |
(818) 667-6488 | |
Not Available |
Full Name | Ltc Physicians, Llc |
---|---|
Speciality | Internal Medicine |
Location | 29830 Wisteria Valley Rd, Santa Clarita, California |
Authorized Official Name and Position | Mark Gobrial (PRESIDENT) |
Authorized Official Contact | 8186676488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ltc Physicians, Llc 8834 Reseda Blvd # 2052 Northridge CA 91324-4039 Ph: () - | Ltc Physicians, Llc 29830 Wisteria Valley Rd Santa Clarita CA 91387-1954 Ph: (818) 667-6488 |
NPI Number | 1457073983 |
---|---|
Provider Enumeration Date | 09/12/2022 |
Last Update Date | 09/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457073983 | NPI | - | NPPES |
20A15290 | Other | CA | FAMILY PRACTICE |
A148741 | Other | CA | INTERNAL MEDICINE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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