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Organization
CARE LEAGUE MEDICAL GROUP, INC
Active
Organization
CARE LEAGUE MEDICAL GROUP, INC
Active
Other names
The Care League
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK JACKSON (CEO)
(213) 341-2681
Entity
Organization
Contact information
Practice address
18653 VENTURA BLVD # 125, TARZANA, CA 91356-4103
(213) 341-2681
Mailing address
18653 VENTURA BLVD # 125, TARZANA, CA 91356-4103
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/23/2024
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