Stemcells Wound Care Medical Group Inc | |
19634 Ventura Blvd Ste 113 Tarzana CA 91356-7136 | |
(310) 560-1974 | |
Not Available |
Full Name | Stemcells Wound Care Medical Group Inc |
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Speciality | Internal Medicine |
Location | 19634 Ventura Blvd Ste 113, Tarzana, California |
Authorized Official Name and Position | Mahbod Paya (PRESIDENT) |
Authorized Official Contact | 3105601974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stemcells Wound Care Medical Group Inc 19634 Ventura Blvd Ste 113 Tarzana CA 91356-7136 Ph: (310) 560-1974 | Stemcells Wound Care Medical Group Inc 19634 Ventura Blvd Ste 113 Tarzana CA 91356-7136 Ph: (310) 560-1974 |
NPI Number | 1255171682 |
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Provider Enumeration Date | 05/31/2024 |
Last Update Date | 05/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255171682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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