# PHILIP CONWISAR MD INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184907123
- **Authorized official:** PHILIP CONWISAR M.D. (OWNER)
- **Authorized official phone:** (818) 784-1354

## Contact information

- **Practice address:** 4835 VAN NUYS BLVD, SUITE 210, SHERMAN OAKS, CA 91403-2109
- **Practice address phone:** (818) 784-1354
- **Practice address fax:** (818) 784-5705
- **Mailing address:** 4835 VAN NUYS BLVD, SUITE 210, SHERMAN OAKS, CA 91403-2109
- **Mailing address phone:** (818) 784-1354
- **Mailing address fax:** (818) 784-5705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G74333 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2011
- **Last updated:** 10/06/2011