Mls Medical Group

NPI #1528364395 in Van Nuys, California

Provider Information

NPI Number: 1528364395
Entity Type: Organization
Organization Name: Mls Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Jan 27, 2011
Last Updated: Jan 27, 2011

Practice Location

Address: 14545 FRIAR ST
Address 2: SUITE 109
City: Van Nuys
State: California
ZIP Code: 91411-2397
Phone: (818) 518-6054

Authorized Official

Name: JIHAD SHAKER AL-IMAMI, M.D.
Title: CEO
Phone: (818) 518-6054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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