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Organization
ANVAR MEDICAL GROUP
Active
Organization
ANVAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARDIA ANVAR M.D. (PRESIDENT)
(310) 445-5999
Entity
Organization
Contact information
Practice address
9335 RESEDA BLVD STE 100, NORTHRIDGE, CA 91324
(310) 445-5999
(310) 445-6622
Mailing address
12021 WILSHIRE BLVD # 745, LOS ANGELES, CA 90025-1206
(310) 445-5999
(310) 445-6622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/27/2013
Last updated
11/26/2024
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