# SHERMAN OAKS INTEGRATED MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Health Atlast Sherman Oaks
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588028625
- **Authorized official:** BRYCE MATTHEWS (MINORITY OWNER)
- **Authorized official phone:** (818) 786-5985

## Contact information

- **Practice address:** 4835 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2109
- **Practice address phone:** (818) 786-5985
- **Practice address fax:** (818) 786-6849
- **Mailing address:** 4835 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2109
- **Mailing address phone:** (818) 786-5985
- **Mailing address fax:** (818) 786-6849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | A102275 | CA | Yes |

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 04/03/2017