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Organization
DR ANIL DATE MD
Active
Organization
DR ANIL DATE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL DATE MD (PRESIDENT)
(818) 365-6632
Entity
Organization
Contact information
Practice address
11550 INDIAN HILLS RD STE 350, MISSION HILLS, CA 91345-1252
(818) 365-6632
Mailing address
25050 AVENUE KEARNY STE 208, VALENCIA, CA 91355-1257
(661) 430-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A125970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A125970
STATE LICENSE
CA
Enumeration date
11/29/2017
Last updated
11/29/2017
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