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Organization
NORTHRIDGE FAMILY PRACTICE MEDICAL GROUP
Active
Organization
NORTHRIDGE FAMILY PRACTICE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA M DAVIS MD (DIRECTOR)
(818) 885-5480
Entity
Organization
Contact information
Practice address
18406 ROSCOE BLVD, NORTHRIDGE, CA 91325
(818) 885-5480
(818) 885-5430
Mailing address
18406 ROSCOE BLVD, NORTHRIDGE, CA 91325
(818) 885-5480
(818) 885-5430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/04/2006
Last updated
11/18/2010
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