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Organization
VALLEY PULMONARY MEDICAL GROUP
Active
Organization
VALLEY PULMONARY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN GRANT HAWKINS MD (OWNER)
(818) 349-2931
Entity
Organization
Contact information
Practice address
18546 ROSCOE BLVD STE 308, NORTHRIDGE, CA 91324-4669
(818) 349-2931
(818) 349-7930
Mailing address
18546 ROSCOE BLVD STE 308, NORTHRIDGE, CA 91324-4669
(818) 349-2931
(818) 349-7930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G43200
CA
Other
Enumeration date
04/19/2007
Last updated
05/25/2012
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