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Organization
ATC HEALTH SERVICES INC.
Active
Organization
ATC HEALTH SERVICES INC.
Active
Other names
ACTIVE MD MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHANA THUKRAL (ADMINISTRATOR)
(805) 501-5715
Entity
Organization
Contact information
Practice address
1925 ROYAL AVE STE B, SIMI VALLEY, CA 93065-4619
(805) 501-5715
(818) 794-6036
Mailing address
1925 ROYAL AVE STE B, SIMI VALLEY, CA 93065-4619
(805) 501-5715
(818) 794-6036
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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