Boulevard Medical Group, Inc.
NPI #1437551033 in Studio City, California
Provider Information
- NPI Number
- 1437551033
- Entity Type
- Organization
- Organization Name
- Boulevard Medical Group, Inc.
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Sep 25, 2014
- Last Updated
- Oct 23, 2015
Practice Location
- Address
- 11239 VENTURA BLVD STE 213
- City
- Studio City
- State
- California
- ZIP Code
- 91604-3167
- Phone
- (818) 505-0152
Authorized Official
- Name
- DR. ROBERT GONZALEZ, D.C.
- Title
- PRESIDENT
- Phone
- (818) 505-0152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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