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Organization
MISSION PLAZA MEDICAL GROUP
Active
Organization
MISSION PLAZA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PALAZZOLO MD (PRESIDENT)
(818) 361-5311
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD, STE 380, MISSION HILLS, CA 91345
(818) 361-5311
(818) 837-0042
Mailing address
11550 INDIAN HILLS RD, STE 380, MISSION HILLS, CA 91345
(818) 361-5311
(818) 837-0042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A33998
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A339980
—
CA
01
—
1942274212
NPI
—
Enumeration date
03/19/2007
Last updated
08/22/2020
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