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Organization
MAVERICK MEDICAL GROUP INC
Active
Organization
MAVERICK MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN HOSSEINION MD (CHIEF EXECUTIVE OFFICER)
(818) 396-8050
Entity
Organization
Contact information
Practice address
700 N BRAND BLVD, STE 220, GLENDALE, CA 91203-1247
(818) 396-8050
(818) 844-3886
Mailing address
PO BOX 4555, GLENDALE, CA 91222-0555
(818) 396-8050
(818) 844-3886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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