# COLLECTIVE HEALTH GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLLECTIVE HEALTH GROUP INC
- **Other names:** TARZANA MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245714351
- **Legal business name:** COLLECTIVE HEALTH GROUP INC
- **Authorized official:** DR. DAVID JAMES KYLE DO (PRESIDENT/CEO/MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 745-7590

## Contact information

- **Practice address:** 18607 VENTURA BLVD STE 302, TARZANA, CA 91356-4158
- **Practice address phone:** (818) 745-7590
- **Practice address fax:** (818) 938-9193
- **Mailing address:** 18607 VENTURA BLVD STE 302, TARZANA, CA 91356-4158
- **Mailing address phone:** (818) 745-7590
- **Mailing address fax:** (818) 938-9193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2018
- **Last updated:** 09/25/2018