West Hills Family Practice Medical Group | |
29525 Can Wood St # 305 Agoura Hills CA 91301 | |
(818) 707-7789 | |
(818) 707-7797 |
Full Name | West Hills Family Practice Medical Group |
---|---|
Speciality | Family Medicine |
Location | 29525 Can Wood St # 305, Agoura Hills, California |
Authorized Official Name and Position | Barry J Wallman (SOLE PROPRIETOR) |
Authorized Official Contact | 8187077789 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
West Hills Family Practice Medical Group 29525 Can Wood St # 305 Agoura Hills CA 91301 Ph: (818) 707-7789 | West Hills Family Practice Medical Group 29525 Can Wood St # 305 Agoura Hills CA 91301 Ph: (818) 707-7789 |
NPI Number | 1154491934 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154491934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G58527 (California) | Primary |
207Q00000X | Family Medicine | G72087 (California) | Secondary |
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