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Organization
NOHO MEDICAL GROUP INC
Active
Organization
NOHO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD PFUPAJENA (PRESIDENT)
(818) 509-0545
Entity
Organization
Contact information
Practice address
11490 BURBANK BLVD STE 1C, NORTH HOLLYWOOD, CA 91601-2391
(818) 509-0545
(818) 863-1812
Mailing address
11490 BURBANK BLVD STE 1C, NORTH HOLLYWOOD, CA 91601-2391
(818) 509-0545
(818) 863-1812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G29345
CA
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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