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Organization
MEDLINE HEALTH CLINIC INC
Active
Organization
MEDLINE HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEIDI REGENASS MD (PRESIDENT)
(747) 223-2238
Entity
Organization
Contact information
Practice address
8905 GLENOAKS BLVD UNIT L, SUN VALLEY, CA 91352-2087
(747) 223-2238
(747) 223-2165
Mailing address
8905 GLENOAKS BLVD UNIT L, SUN VALLEY, CA 91352-2087
(747) 223-2238
(747) 223-2165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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