Porter Ranch Medical Center
NPI #1184731960 in Porter Ranch, California
Provider Information
- NPI Number
- 1184731960
- Entity Type
- Organization
- Organization Name
- Porter Ranch Medical Center
- Primary Specialty
- Contractor
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Mar 23, 2011
Practice Location
- Address
- 11177 TAMPA AVENUE
- Address 2
- SUITE A
- City
- Porter Ranch
- State
- California
- ZIP Code
- 91326-2254
- Phone
- (818) 831-8000
Authorized Official
- Name
- GERIE KEH, D.A.O.M
- Title
- PRESIDENT
- Phone
- (818) 831-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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