# CANOGA PARK URGENT CARE FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487913810
- **Authorized official:** SYRUS FERIDOUNI M.D. (PRESIDENT)
- **Authorized official phone:** (818) 744-4369

## Contact information

- **Practice address:** 20905 SHERMAN WAY, CANOGA PARK, CA 91303-1743
- **Practice address phone:** (818) 744-4369
- **Practice address fax:** (310) 444-0606
- **Mailing address:** 20905 SHERMAN WAY, CANOGA PARK, CA 91303-1743
- **Mailing address phone:** (818) 744-4369
- **Mailing address fax:** (310) 444-0606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A92103 | CA | — |
| 208D00000X | General Practice Physician | A97912 | CA | Yes |

## Other

- **Enumeration date:** 05/04/2012
- **Last updated:** 10/22/2024