| Specialty Healthcare Management Group, Inc | |
|
17075 Devonshire St #100 Northridge CA 91325-1600 | |
| (800) 673-8185 | |
| (310) 626-9765 |
| Full Name | Specialty Healthcare Management Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17075 Devonshire St, Northridge, California |
| Authorized Official Name and Position | Cesar Ivan Landeros (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8006738185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Healthcare Management Group, Inc 18238 Sunburst St Northridge CA 91325-2717 Ph: (800) 673-8185 | Specialty Healthcare Management Group, Inc 17075 Devonshire St #100 Northridge CA 91325-1600 Ph: (800) 673-8185 |
| NPI Number | 1265771877 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265771877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A43714 (California) | Primary |
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