| Vdex Medical Group - Cheng | |
|
21201 Victory Blvd Ste 265 Canoga Park CA 91303-4059 | |
| (818) 661-6367 | |
| (818) 661-6367 |
| Full Name | Vdex Medical Group - Cheng |
|---|---|
| Speciality | Internal Medicine |
| Location | 21201 Victory Blvd Ste 265, Canoga Park, California |
| Authorized Official Name and Position | Courtney T Mizuhara-cheng (PRESIDENT) |
| Authorized Official Contact | 8186616367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vdex Medical Group - Cheng 21201 Victory Blvd Ste 265 Canoga Park CA 91303-4059 Ph: (818) 661-6367 | Vdex Medical Group - Cheng 21201 Victory Blvd Ste 265 Canoga Park CA 91303-4059 Ph: (818) 661-6367 |
| NPI Number | 1174019368 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174019368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A10710 (California) | Primary |
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