| In His Image Family Clinic Urgent Care | |
|
18251 Roscoe Blvd #105 Northridge CA 91325-4200 | |
| (818) 718-0500 | |
| Not Available |
| Full Name | In His Image Family Clinic Urgent Care |
|---|---|
| Speciality | Family Medicine |
| Location | 18251 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Joseph Samuel Meshriky (PRESIDENT) |
| Authorized Official Contact | 8187180500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In His Image Family Clinic Urgent Care 18251 Roscoe Blvd 105 Northridge CA 91325-4200 Ph: (818) 718-0500 | In His Image Family Clinic Urgent Care 18251 Roscoe Blvd #105 Northridge CA 91325-4200 Ph: (818) 718-0500 |
| NPI Number | 1992140446 |
|---|---|
| Provider Enumeration Date | 05/09/2013 |
| Last Update Date | 05/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992140446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A102441 (California) | Primary |
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