| Cole Md Medical Group, Inc. | |
|
22203 Sherman Way Canoga Park CA 91303-1048 | |
| (818) 854-4400 | |
| Not Available |
| Full Name | Cole Md Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 22203 Sherman Way, Canoga Park, California |
| Authorized Official Name and Position | Dyan Cole (PRESIDENT/CEO) |
| Authorized Official Contact | 8188544400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Md Medical Group, Inc. 22203 Sherman Way Canoga Park CA 91303-1048 Ph: (818) 854-4400 | Cole Md Medical Group, Inc. 22203 Sherman Way Canoga Park CA 91303-1048 Ph: (818) 854-4400 |
| NPI Number | 1386017366 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 11/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386017366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G67490 (California) | Primary |
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