| Pfupajena Md Group Inc | |
|
7538 Laurel Canyon Blvd N Hollywood CA 91605-3148 | |
| (213) 924-3535 | |
| Not Available |
| Full Name | Pfupajena Md Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7538 Laurel Canyon Blvd, N Hollywood, California |
| Authorized Official Name and Position | Howard T Pfupajena (CEO) |
| Authorized Official Contact | 2139243535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pfupajena Md Group Inc 7538 Laurel Canyon Blvd N Hollywood CA 91605-3148 Ph: (213) 924-3535 | Pfupajena Md Group Inc 7538 Laurel Canyon Blvd N Hollywood CA 91605-3148 Ph: (213) 924-3535 |
| NPI Number | 1417465634 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417465634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G29345 (California) | Primary |
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