Healthcare Providers of California Medical Group, INC

NPI #1376574285 in Canoga Park, California

Provider Information

NPI Number
1376574285
Entity Type
Organization
Organization Name
Healthcare Providers of California Medical Group, INC
Primary Specialty
Internal Medicine
Enumeration Date
Jul 6, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
24425 WOOLSEY CANYON RD
Address 2
#11
ZIP Code
91304-1131
Phone
(818) 713-1115

Authorized Official

Name
DR. EDWARD JOHN GIAQUINTO JR., PH.D.
Title
PRESIDENT
Phone
(818) 421-2799

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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