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Organization
INFINITI MEDICAL GROUP INC
Active
Organization
INFINITI MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVA A MARSH M. D. (PRESIDENT)
(818) 646-1610
Entity
Organization
Contact information
Practice address
14407 HAMLIN ST, UNIT B, VAN NUYS, CA 91401-6228
(818) 646-1610
(818) 646-1630
Mailing address
14407 HAMLIN ST, UNIT B, VAN NUYS, CA 91401-6228
(818) 646-1610
(818) 646-1630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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