| Victor S Hogen & Associates Medical Group Inc | |
|
18433 Roscoe Blvd Ste 204 Northridge CA 91325 | |
| (818) 886-5591 | |
| (818) 886-5593 |
| Full Name | Victor S Hogen & Associates Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 18433 Roscoe Blvd, Northridge, California |
| Authorized Official Name and Position | Victor S Hogen (PRESIDENT OWNER) |
| Authorized Official Contact | 8188865591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor S Hogen & Associates Medical Group Inc 18433 Roscoe Blvd Ste 204 Northridge CA 91325 Ph: (818) 886-5591 | Victor S Hogen & Associates Medical Group Inc 18433 Roscoe Blvd Ste 204 Northridge CA 91325 Ph: (818) 886-5591 |
| NPI Number | 1215993167 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215993167 | NPI | - | NPPES |
| 00A131170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A13117 (California) | Primary |
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