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Organization
VALLEY HEALTH CARE MEDICAL GROUP, INC
Active
Organization
VALLEY HEALTH CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J KROOP VIII MD (PRESIDENT)
(818) 842-7145
Entity
Organization
Contact information
Practice address
201 S BUENA VISTA ST, SUITE # 300, BURBANK, CA 91505-4569
(818) 842-7145
(818) 842-8279
Mailing address
201 S BUENA VISTA ST, SUITE # 300, BURBANK, CA 91505-4569
(818) 842-7145
(818) 842-8279
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497786750
DME
CA
01
—
DG6538
MEDICARE RAILROAD
CA
Enumeration date
07/14/2006
Last updated
07/21/2009
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