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Organization
SC PHYSICIAN GROUP
Active
Organization
SC PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL P MOMJIAN M.D. (PRESIDENT)
(626) 616-6642
Entity
Organization
Contact information
Practice address
946 N BRAND BLVD, GLENDALE, CA 91202-2905
(818) 662-7000
(818) 662-7131
Mailing address
946 N BRAND BLVD, GLENDALE, CA 91202-2905
(626) 616-6642
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A98448
CA
261QU0200X
Urgent Care Clinic/Center
A98448
CA
Other
Enumeration date
10/01/2008
Last updated
04/17/2014
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