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Organization
GABLE MEDICAL GROUP INC
Active
Organization
GABLE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEFA BALZOMO (CEO)
(818) 806-8775
Entity
Organization
Contact information
Practice address
22148 SHERMAN WAY STE 101, CANOGA PARK, CA 91303-1152
(818) 806-8775
Mailing address
22148 SHERMAN WAY STE 101, CANOGA PARK, CA 91303-1152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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