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Organization
VALLEY PEDIATRIC MEDICAL GROUP,INC.
Active
Organization
VALLEY PEDIATRIC MEDICAL GROUP,INC.
Active
Other names
VALLEY PEDIATRIC MEDICAL GROUP,INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARYN YOUNG (CREDENTIALING MANAGER)
(818) 789-7181
Entity
Organization
Contact information
Practice address
5353 BALBOA BLVD, SUITE 104, ENCINO, CA 91316-2804
(818) 789-7181
(818) 986-8322
Mailing address
5353 BALBOA BLVD, SUITE 104, ENCINO, CA 91316-2804
(818) 789-7181
(818) 986-8322
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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