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Organization
MEDICAL GROUP OF ENCINO, INC
Active
Organization
MEDICAL GROUP OF ENCINO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LAWRENCE WULFSBERG MD (VICE PRESIDENT TREASURER)
(818) 990-1067
Entity
Organization
Contact information
Practice address
16030 VENTURA BOULEVARD, SUITE 680, ENCINO, CA 91436-2726
(818) 990-1067
(818) 981-1217
Mailing address
16030 VENTURA BOULEVARD, SUITE 680, ENCINO, CA 91436-2726
(818) 990-1067
(818) 981-1217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/07/2006
Last updated
02/04/2010
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