# CANYON MEDICAL CENTER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164679718
- **Authorized official:** DR. DAVID VESCO MD (OWNER)
- **Authorized official phone:** (818) 880-0799

## Contact information

- **Practice address:** 4937 LAS VIRGENES RD, SUITE 104, CALABASAS, CA 91302-2949
- **Practice address phone:** (818) 880-0799
- **Practice address fax:** (818) 880-6689
- **Mailing address:** 4937 LAS VIRGENES RD, SUITE 104, CALABASAS, CA 91302-2949
- **Mailing address phone:** (818) 880-0799
- **Mailing address fax:** (818) 880-6689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 43384A | CA | Yes |

## Other

- **Enumeration date:** 08/26/2008
- **Last updated:** 11/14/2014