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Organization
VALLEY VILLAGE HEALTH CLINIC PC
Active
Organization
VALLEY VILLAGE HEALTH CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON GROOMER DO (MEDICAL DIRECTOR)
(818) 452-9266
Entity
Organization
Contact information
Practice address
12626 RIVERSIDE DR STE 301, VALLEY VILLAGE, CA 91607-3473
(818) 452-9266
(818) 358-2079
Mailing address
PO BOX 27206, LOS ANGELES, CA 90027-0206
(213) 385-0675
(213) 365-6429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
06/24/2025
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