| |
11650 Riverside Dr, Ste# 5, Studio City, CA 91602-1093 | |
(818) 269-1111 | |
(818) 247-1484 |
Full Name | |
---|---|
Type | Facility |
Speciality | Internal Medicine |
Location | 11650 Riverside Dr, Studio City, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982867651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (California) | Secondary |
207R00000X | Internal Medicine | A53993 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
11650 Riverside Dr, Ste# 5, Studio City, CA 91602-1093 Ph: (818) 269-1111 | 11650 Riverside Dr, Ste# 5, Studio City, CA 91602-1093 Ph: (818) 269-1111 |