| Maverick Medical Group Inc | |
|
700 N Brand Blvd Ste 220 Glendale CA 91203-1247 | |
| (818) 396-8050 | |
| (818) 844-3886 |
| Full Name | Maverick Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 N Brand Blvd, Glendale, California |
| Authorized Official Name and Position | Warren Hosseinion (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8183968050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maverick Medical Group Inc Po Box 4555 Glendale CA 91222-0555 Ph: (818) 396-8050 | Maverick Medical Group Inc 700 N Brand Blvd Ste 220 Glendale CA 91203-1247 Ph: (818) 396-8050 |
| NPI Number | 1215274311 |
|---|---|
| Provider Enumeration Date | 01/09/2013 |
| Last Update Date | 01/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215274311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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