| Mgb Medical Group, Inc. | |
|
7535 Laurel Canyon Blvd N Hollywood CA 91605-3149 | |
| (818) 962-5505 | |
| Not Available |
| Full Name | Mgb Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 7535 Laurel Canyon Blvd, N Hollywood, California |
| Authorized Official Name and Position | Michael Repik (PRESIDENT) |
| Authorized Official Contact | 8189625505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgb Medical Group, Inc. 7535 Laurel Canyon Blvd N Hollywood CA 91605-3149 Ph: (818) 962-5505 | Mgb Medical Group, Inc. 7535 Laurel Canyon Blvd N Hollywood CA 91605-3149 Ph: (818) 962-5505 |
| NPI Number | 1720554041 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 01/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720554041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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