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Organization
PRIORITY MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
PRIORITY MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROSE MD (OWNER/CEO)
(747) 888-3280
Entity
Organization
Contact information
Practice address
5348 TOPANGA CANYON BLVD STE 204, WOODLAND HILLS, CA 91364-1739
(747) 888-3280
(747) 888-3281
Mailing address
5348 TOPANGA CANYON BLVD STE 204, WOODLAND HILLS, CA 91364-1739
(747) 888-3280
(747) 888-3281
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
08/10/2022
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