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Organization
VALLEY COMMUNITY WELLNESS CENTERS, INC
Active
Organization
VALLEY COMMUNITY WELLNESS CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM KOSSARI MD (PRESIDENT)
(818) 365-1616
Entity
Organization
Contact information
Practice address
14901 RINALDI ST STE 320, MISSION HILLS, CA 91345-1255
(818) 365-1616
(818) 365-1811
Mailing address
PO BOX 8239, MISSION HILLS, CA 91346-8239
(818) 365-1616
(818) 365-1811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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