| Alj Medical Group, Inc. | |
|
10545 Burbank Blvd 112 North Hollywood CA 91601-2245 | |
| (818) 979-4962 | |
| (818) 760-1415 |
| Full Name | Alj Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 10545 Burbank Blvd, North Hollywood, California |
| Authorized Official Name and Position | Anthony Jackson (PRESIDENT) |
| Authorized Official Contact | 8189794962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alj Medical Group, Inc. 10545 Burbank Blvd 112 North Hollywood CA 91601-2245 Ph: (818) 979-4962 | Alj Medical Group, Inc. 10545 Burbank Blvd 112 North Hollywood CA 91601-2245 Ph: (818) 979-4962 |
| NPI Number | 1659601870 |
|---|---|
| Provider Enumeration Date | 01/11/2010 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659601870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G43207 (California) | Primary |
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