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Organization
MYATLAS PROVIDER GROUP CA, P.C.
Active
Organization
MYATLAS PROVIDER GROUP CA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKRAM BAKHRU MD (PRESIDENT)
(305) 701-4286
Entity
Organization
Contact information
Practice address
5250 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91601-3186
(305) 701-4286
(305) 703-3502
Mailing address
5250 LANKERSHIM BLVD STE 500, NORTH HOLLYWOOD, CA 91601-3187
(305) 701-4286
(305) 703-3502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
Other
Enumeration date
10/03/2026
Last updated
10/03/2026
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