Mission Plaza Medical Group | |
11550 Indian Hills Rd Ste 380 Mission Hills CA 91345 | |
(818) 361-5311 | |
(818) 837-0042 |
Full Name | Mission Plaza Medical Group |
---|---|
Speciality | Internal Medicine |
Location | 11550 Indian Hills Rd, Mission Hills, California |
Authorized Official Name and Position | Michael Palazzolo (PRESIDENT) |
Authorized Official Contact | 8183615311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mission Plaza Medical Group 11550 Indian Hills Rd Ste 380 Mission Hills CA 91345 Ph: (818) 361-5311 | Mission Plaza Medical Group 11550 Indian Hills Rd Ste 380 Mission Hills CA 91345 Ph: (818) 361-5311 |
NPI Number | 1538283379 |
---|---|
Provider Enumeration Date | 03/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538283379 | NPI | - | NPPES |
1942274212 | Other | NPI | |
00A339980 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A33998 (California) | Primary |
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