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Organization
LTC PHYSICIANS, LLC
Active
Organization
LTC PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GOBRIAL MD (PRESIDENT)
(818) 667-6488
Entity
Organization
Contact information
Practice address
29830 WISTERIA VALLEY RD, SANTA CLARITA, CA 91387-1954
(818) 667-6488
Mailing address
8834 RESEDA BLVD # 2052, NORTHRIDGE, CA 91324-4039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A15290
FAMILY PRACTICE
CA
01
—
A148741
INTERNAL MEDICINE
CA
Enumeration date
09/12/2022
Last updated
09/12/2022
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