| Denq Corporation | |
|
18251 Roscoe Blvd Suite 105 Northridge CA 91325-4200 | |
| (818) 885-1005 | |
| (818) 885-7811 |
| Full Name | Denq Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 18251 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Stephen P. Denq (PRESIDENT) |
| Authorized Official Contact | 8188851005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denq Corporation 18251 Roscoe Blvd Suite 105 Northridge CA 91325-4200 Ph: (818) 885-1005 | Denq Corporation 18251 Roscoe Blvd Suite 105 Northridge CA 91325-4200 Ph: (818) 885-1005 |
| NPI Number | 1174674980 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174674980 | NPI | - | NPPES |
| 00A658390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A065839 (California) | Primary |
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