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Organization
MY FAMILYS MEDICAL GROUP INC
Active
Organization
MY FAMILYS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANTE AGUILERA (PRESIDENT)
(818) 907-1208
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, SUITE 405, ENCINO, CA 91436-1914
(818) 907-1208
(818) 907-1210
Mailing address
16661 VENTURA BLVD, SUITE 405, ENCINO, CA 91436-1914
(818) 907-1208
(818) 907-1210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/02/2010
Last updated
01/02/2010
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