Bella Vista Medical Group Ipa

NPI #1093844656 in Woodland Hills, California

Provider Information

NPI Number
1093844656
Entity Type
Organization
Organization Name
Bella Vista Medical Group Ipa
Primary Specialty
Health Maintenance Organization
Enumeration Date
Mar 2, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
6400 CANOGA AVE
Address 2
SUITE 163
ZIP Code
91367-2425
Phone
(818) 702-0100

Authorized Official

Name
MS. LINDA DEAKTOR, R.N.
Title
DIRECTOR OF MEDICAL AFFAIRS
Phone
(818) 702-0100

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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