| South Valley Physician Group, Inc. | |
|
5525 Etiwanda Ave Suite 200 Tarzana CA 91356-3647 | |
| (818) 528-1293 | |
| (818) 654-8444 |
| Full Name | South Valley Physician Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5525 Etiwanda Ave, Tarzana, California |
| Authorized Official Name and Position | Michael S Malamed (PRESIDENT) |
| Authorized Official Contact | 8185281293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Valley Physician Group, Inc. 5525 Etiwanda Ave Suite 200 Tarzana CA 91356-3647 Ph: (818) 528-1293 | South Valley Physician Group, Inc. 5525 Etiwanda Ave Suite 200 Tarzana CA 91356-3647 Ph: (818) 528-1293 |
| NPI Number | 1750795613 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750795613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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