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Organization
FORWARD MEDICAL GROUP PC
Active
Organization
FORWARD MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SLACK DO (OWNER)
(385) 455-7170
Entity
Organization
Contact information
Practice address
8757 BURTON WAY, WEST HOLLYWOOD, CA 90048-3839
(385) 455-7170
(888) 823-5887
Mailing address
8757 BURTON WAY, WEST HOLLYWOOD, CA 90048-3839
(385) 455-7170
(888) 823-5887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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