| Vincent Pogo Health Of Nv Pc | |
|
26342 Fairside Rd Malibu CA 90265-2927 | |
| (805) 975-5006 | |
| Not Available |
| Full Name | Vincent Pogo Health Of Nv Pc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 26342 Fairside Rd, Malibu, California |
| Authorized Official Name and Position | Natalie Maloney (COO) |
| Authorized Official Contact | 8059750006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Pogo Health Of Nv Pc 2287 Mulholland Hwy #526 Calabasas CA 90290 Ph: (805) 975-0006 | Vincent Pogo Health Of Nv Pc 26342 Fairside Rd Malibu CA 90265-2927 Ph: (805) 975-5006 |
| NPI Number | 1407557960 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407557960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | (* (Not Available)) | Primary |
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