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Organization
SYLMAR MEDICAL GROUP PHYSICIAN ASSISTANT INC
Active
Organization
SYLMAR MEDICAL GROUP PHYSICIAN ASSISTANT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRIN AHMADI PHYSICIAN ASSISTANT (CEO)
(323) 810-1917
Entity
Organization
Contact information
Practice address
13749 FOOTHILL BLVD, SYLMAR, CA 91342-3105
(818) 617-0253
Mailing address
PO BOX 920773, SYLMAR, CA 91392-0773
(818) 617-0253
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/23/2024
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