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Organization
JPB MEDICAL GROUP INC
Active
Organization
JPB MEDICAL GROUP INC
Active
Other names
Century Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE PHAN MD (PRESIDENT)
(818) 780-2106
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST, STE 406, VAN NUYS, CA 91405-3605
(818) 780-2106
(818) 780-4271
Mailing address
15243 VANOWEN ST, STE 406, VAN NUYS, CA 91405-3636
(818) 780-2106
(818) 780-4271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/16/2007
Last updated
03/19/2009
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