Dmb Md Group Inc | |
7535 Laurel Canyon Blvd North Hollywood CA 91605-3149 | |
(818) 962-5505 | |
(811) 821-6722 |
Full Name | Dmb Md Group Inc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 7535 Laurel Canyon Blvd, North Hollywood, California |
Authorized Official Name and Position | Darren Michael Boyer (CEO) |
Authorized Official Contact | 3234591543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dmb Md Group Inc 1431 Ocean Ave Apt 1201 Santa Monica CA 90401-2147 Ph: (323) 459-1543 | Dmb Md Group Inc 7535 Laurel Canyon Blvd North Hollywood CA 91605-3149 Ph: (818) 962-5505 |
NPI Number | 1144733825 |
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Provider Enumeration Date | 11/16/2017 |
Last Update Date | 06/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144733825 | NPI | - | NPPES |
1992960462 | Other | NPI-1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | A111784 (California) | Primary |
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