| Community Medical Group Inc | |
|
2950 No Sycamore Drive Suite 300 Simi Valley CA 93065 | |
| (805) 520-8999 | |
| (805) 526-7092 |
| Full Name | Community Medical Group Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 2950 No Sycamore Drive, Simi Valley, California |
| Authorized Official Name and Position | Bernard Siegel (PRESIDENT) |
| Authorized Official Contact | 8187079603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Group Inc 30125 Agoura Rd Suite 200 Agoura Hills CA 91301-4337 Ph: (818) 707-9603 | Community Medical Group Inc 2950 No Sycamore Drive Suite 300 Simi Valley CA 93065 Ph: (805) 520-8999 |
| NPI Number | 1235207325 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235207325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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