| Medicina Familiar Medical Group | |
|
20440 Sherman Way Canoga Park CA 91306-3110 | |
| (818) 346-2395 | |
| (818) 346-4591 |
| Full Name | Medicina Familiar Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 20440 Sherman Way, Canoga Park, California |
| Authorized Official Name and Position | Kevin Charles Thomas (OWNER) |
| Authorized Official Contact | 3237782131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicina Familiar Medical Group 7301 S Western Ave Los Angeles CA 90047-2254 Ph: (818) 346-2395 | Medicina Familiar Medical Group 20440 Sherman Way Canoga Park CA 91306-3110 Ph: (818) 346-2395 |
| NPI Number | 1437495462 |
|---|---|
| Provider Enumeration Date | 12/19/2012 |
| Last Update Date | 04/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437495462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A52385 (California) | Primary |
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