Denq Corporation | |
18251 Roscoe Blvd #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 (OWNER) |
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 #105 Northridge CA 91325-4200 Ph: (818) 885-1005 | Denq Corporation 18251 Roscoe Blvd #105 Northridge CA 91325-4200 Ph: (818) 885-1005 |
NPI Number | 1346467263 |
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Provider Enumeration Date | 04/20/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346467263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A65839 (California) | Primary |
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