Legacy Health Inc | |
18350 Roscoe Blvd Ste 218 Northridge CA 91325-4153 | |
(818) 620-2485 | |
(818) 993-8158 |
Full Name | Legacy Health Inc |
---|---|
Speciality | Internal Medicine - Sports Medicine |
Location | 18350 Roscoe Blvd Ste 218, Northridge, California |
Authorized Official Name and Position | Raahil Kajani (PRESIDENT) |
Authorized Official Contact | 8186202485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Legacy Health Inc 18350 Roscoe Blvd Ste 218 Northridge CA 91325-4153 Ph: (818) 620-2485 | Legacy Health Inc 18350 Roscoe Blvd Ste 218 Northridge CA 91325-4153 Ph: (818) 620-2485 |
NPI Number | 1144065236 |
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Provider Enumeration Date | 06/28/2024 |
Last Update Date | 06/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144065236 | NPI | - | NPPES |
1780245985 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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