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Organization
MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP, INC
Active
Organization
MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH ELLIS (VP CHIEF OPERATING OFFICER)
(818) 876-1079
Entity
Organization
Contact information
Practice address
800 S CENTRAL AVE, STE 305, GLENDALE, CA 91204-4370
(818) 876-4790
Mailing address
23388 MULHOLLAND DR, MAILSTOP 62, WOODLAND HILLS, CA 91364-2733
(818) 876-1636
(818) 876-1516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
02/08/2010
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