# W N N MEDICAL GRP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Neurological Network Medical Group Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477765659
- **Authorized official:** DR. KANNEN PARAMESH M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (818) 225-7667

## Contact information

- **Practice address:** 23501 PARK SORRENTO, SUITE \# 102, CALABASAS, CA 91302-1308
- **Practice address phone:** (818) 225-7667
- **Practice address fax:** (818) 225-7727
- **Mailing address:** 23501 PARK SORRENTO, SUITE \# 102, CALABASAS, CA 91302-1308
- **Mailing address phone:** (818) 225-7667
- **Mailing address fax:** (818) 225-7727

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 44425682 | CA | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 06/26/2008
