Canoga Park Medical Group A Professional Corp

LBN: Canoga Park Medical Group A Professional Corp
Canoga Park Medical Group A Professional Corp is an health care organization with primary practice located at 7301 Medical Center Dr Suite 405, West Hills CA 91307-1904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Canoga Park Medical Group A Professional Corp can be contacted via phone (818) 347-3077, or through Perlmutter, Robert A via phone (818) 347-3077.

Contact Information

Primary practice address
7301 Medical Center Dr Suite 405 West Hills CA 91307-1904
Fax: (818) 347-8334
Website:
Authorized official contact:
Name: Perlmutter, Robert A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A28598 California

Profile Details

NPI number 1346429313
LBN Legal business name Canoga Park Medical Group A Professional Corp
DBA Doing business as
Authorized official Perlmutter, Robert A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Sep 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346429313 NPPES
California MEDICAID ZZZ72255Z

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