| Dignity Health Medical Group - Northridge, A Service Of Dignity Health | |
|
18406 Roscoe Blvd Northridge CA 91325-4107 | |
| (818) 885-5480 | |
| Not Available |
| Full Name | Dignity Health Medical Group - Northridge, A Service Of Dignity Health |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 18406 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Theresa M Hylen (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9168512559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dignity Health Medical Group - Northridge, A Service Of Dignity Health 3400 Data Dr 1st Floor Rancho Cordova CA 95670-7956 Ph: (916) 379-2726 | Dignity Health Medical Group - Northridge, A Service Of Dignity Health 18406 Roscoe Blvd Northridge CA 91325-4107 Ph: (818) 885-5480 |
| NPI Number | 1508222647 |
|---|---|
| Provider Enumeration Date | 01/05/2016 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508222647 | NPI | - | NPPES |
| 383981523 | Other | CA | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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