| Valley Health Medical Group, Inc | |
|
11240 Magnolia Blvd Ste 102 North Hollywood CA 91601-3790 | |
| (747) 877-8184 | |
| Not Available |
| Full Name | Valley Health Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11240 Magnolia Blvd Ste 102, North Hollywood, California |
| Authorized Official Name and Position | Plasencia Salvador (OWNER) |
| Authorized Official Contact | 7478778184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Medical Group, Inc 11240 Magnolia Blvd Ste 102 North Hollywood CA 91601-3790 Ph: (747) 877-8184 | Valley Health Medical Group, Inc 11240 Magnolia Blvd Ste 102 North Hollywood CA 91601-3790 Ph: (747) 877-8184 |
| NPI Number | 1609630755 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Medicare PECOS PAC ID | 8426495268 |
|---|---|
| Medicare Enrollment ID | O20240328001235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609630755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Salvador Plasencia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881953156 PECOS PAC ID: 1850523374 Enrollment ID: I20170609001691 |
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