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Organization
PRUDENT MEDICAL GROUP, INC.
Active
Organization
PRUDENT MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE HOLLIDAY (NETWORK DIRECTOR)
(818) 461-5046
Entity
Organization
Contact information
Practice address
5255 WEST SUNSET BLVD, STE 201, LOS ANGELES, CA 90027
(323) 962-6228
(323) 962-6228
Mailing address
15821 VENTURA BLVD, STE 600, ENCINO, CA 91436
(818) 461-5000
(818) 461-5078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
11/04/2011
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