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Organization
GENESIS HEALTH GROUP
Active
Organization
GENESIS HEALTH GROUP
Active
Parent organization
GENESIS HEALTH GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS HEALTH GROUP
Authorized official
DR. V K MISHRA D.C. (D.C.)
(818) 754-1124
Entity
Organization
Contact information
Practice address
4405 W RIVERSIDE DR, SUITE 205, BURBANK, CA 91505-4072
(818) 754-1124
Mailing address
PO BOX 2101, TOLUCA LAKE, CA 91610-0101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19993
CA
Other
Enumeration date
08/12/2006
Last updated
03/21/2016
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