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15314 Devonshire Street Suite I Mission Hills CA 91345 | |
| (818) 920-2000 | |
| (818) 920-0099 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 15314 Devonshire Street, Mission Hills, California |
| Authorized Official Name and Position | Christine Daniel (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8189202000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 950969 Mission Hills CA 91395 Ph: (818) 920-2000 | 15314 Devonshire Street Suite I Mission Hills CA 91345 Ph: (818) 920-2000 |
| NPI Number | 1316007834 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316007834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G42176 (California) | Primary |
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