# PRIORITY MEDICAL CLINIC A PROFESSIONAL MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1730814823
- **Authorized official:** DANIEL ROSE MD (OWNER/CEO)
- **Authorized official phone:** (747) 888-3280

## Contact information

- **Practice address:** 5348 TOPANGA CANYON BLVD STE 204, WOODLAND HILLS, CA 91364-1739
- **Practice address phone:** (747) 888-3280
- **Practice address fax:** (747) 888-3281
- **Mailing address:** 5348 TOPANGA CANYON BLVD STE 204, WOODLAND HILLS, CA 91364-1739
- **Mailing address phone:** (747) 888-3280
- **Mailing address fax:** (747) 888-3281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2022
- **Last updated:** 08/10/2022