| Medical Group Of Encino, Inc | |
|
16030 Ventura Boulevard Suite 680 Encino CA 91436-2726 | |
| (818) 990-1067 | |
| (818) 981-1217 |
| Full Name | Medical Group Of Encino, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16030 Ventura Boulevard, Encino, California |
| Authorized Official Name and Position | Richard Lawrence Wulfsberg (VICE PRESIDENT TREASURER) |
| Authorized Official Contact | 8189901067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of Encino, Inc 16030 Ventura Boulevard Suite 680 Encino CA 91436-2726 Ph: (818) 990-1067 | Medical Group Of Encino, Inc 16030 Ventura Boulevard Suite 680 Encino CA 91436-2726 Ph: (818) 990-1067 |
| NPI Number | 1801805874 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 02/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801805874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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