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Organization
CANYON MEDICAL CENTER CORPORATION
Active
Organization
CANYON MEDICAL CENTER CORPORATION
Active
Parent organization
CANYON MEDICAL CENTER CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANYON MEDICAL CENTER CORPORATION
Authorized official
DAVID VESCO M.D. (OWNER)
(818) 880-0799
Entity
Organization
Contact information
Practice address
4937 LAS VIRGENES RD STE 104, CALABASAS, CA 91302-2949
(818) 880-0799
Mailing address
2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
05/20/2010
Last updated
03/07/2011
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