# PHOENIX MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669747150
- **Authorized official:** MS. WENDY MORLEY (BILLER)
- **Authorized official phone:** (818) 701-1800

## Contact information

- **Practice address:** 4355 E AIRPORT DR, SUITE 100, ONTARIO, CA 91761-7812
- **Practice address phone:** (818) 701-1800
- **Practice address fax:** (818) 885-1171
- **Mailing address:** 4355 E AIRPORT DR, SUITE 100, ONTARIO, CA 91761-7812
- **Mailing address phone:** (818) 701-1800
- **Mailing address fax:** (818) 885-1171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | CA | Yes |
| 225100000X | Physical Therapist | — | CA | — |

## Other

- **Enumeration date:** 03/15/2012
- **Last updated:** 03/15/2012