Porter Ranch Integrative Medical Clinic, a Professional Corporation
NPI #1043642358 in Porter Ranch, California
Provider Information
- NPI Number
- 1043642358
- Entity Type
- Organization
- Organization Name
- Porter Ranch Integrative Medical Clinic, a Professional Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 8, 2013
- Last Updated
- Aug 8, 2013
Practice Location
- Address
- 11177 TAMPA AVE
- Address 2
- STE A
- City
- Porter Ranch
- State
- California
- ZIP Code
- 91326-2254
- Phone
- (818) 831-8000
Authorized Official
- Name
- DR. BENNETT ANNAN, ED.D.
- Title
- GENERAL MANAGER
- Phone
- (818) 831-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker - Clinical — Clinical |
| Chiropractor |
| Dietitian, Registered |
| Acupuncturist |
| Internal Medicine |
| Physical Medicine & Rehabilitation |
| Family Medicine |
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