# CARE LEVEL MANAGEMENT MEDICAL GROUP OF PENNSYLVANIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306950704
- **Authorized official:** MICHELLE JOHNSON (SR STAFFING COORDINATOR)
- **Authorized official phone:** (818) 595-8180

## Contact information

- **Practice address:** 1400 N PROVIDENCE RD, SUITE 1025, MEDIA, PA 19063-2043
- **Practice address phone:** (610) 892-8991
- **Practice address fax:** (610) 892-8966
- **Mailing address:** 5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6582
- **Mailing address phone:** (800) 377-3606
- **Mailing address fax:** (818) 595-8101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 04/20/2008