California Care Level Management Direct Medical Group, Inc | |
5700 Canoga Ave Suite 500 Woodland Hills CA 91367-6579 | |
(800) 377-3606 | |
(818) 595-8206 |
Full Name | California Care Level Management Direct Medical Group, Inc |
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Speciality | General Practice |
Location | 5700 Canoga Ave, Woodland Hills, California |
Authorized Official Name and Position | Raouf Khalil (CEO) |
Authorized Official Contact | 8185913435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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California Care Level Management Direct Medical Group, Inc 5700 Canoga Ave Suite 500 Woodland Hills CA 91367-6579 Ph: (800) 377-3606 | California Care Level Management Direct Medical Group, Inc 5700 Canoga Ave Suite 500 Woodland Hills CA 91367-6579 Ph: (800) 377-3606 |
NPI Number | 1659357341 |
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Provider Enumeration Date | 12/15/2005 |
Last Update Date | 08/13/2007 |
Identifier | Type | State | Issuer |
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1659357341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 33579 (California) | Primary |
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