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Organization
CARE CONNECT MEDICAL GROUP
Active
Organization
CARE CONNECT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILIAN VILLAREAL (CFO)
(805) 823-5980
Entity
Organization
Contact information
Practice address
3111 LOS FELIZ BLVD, STE 211, LOS ANGELES, CA 90039-1585
(866) 227-3310
(866) 491-1305
Mailing address
3111 LOS FELIZ BLVD, STE 211, LOS ANGELES, CA 90039-1585
(866) 227-3310
(866) 491-1305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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