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Organization
CARE LEVEL MANAGEMENT MEDICAL GROUP OF PENNSYLVANIA PC
Active
Organization
CARE LEVEL MANAGEMENT MEDICAL GROUP OF PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNSON (SR STAFFING COORDINATOR)
(818) 595-8180
Entity
Organization
Contact information
Practice address
1400 N PROVIDENCE RD, SUITE 1025, MEDIA, PA 19063-2043
(610) 892-8991
(610) 892-8966
Mailing address
5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6582
(800) 377-3606
(818) 595-8101
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
04/20/2008
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