# CANYON MEDICAL CENTER CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANYON MEDICAL CENTER CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972822666
- **Legal business name:** CANYON MEDICAL CENTER CORPORATION
- **Authorized official:** DAVID VESCO M.D. (OWNER)
- **Authorized official phone:** (818) 880-0799

## Contact information

- **Practice address:** 4937 LAS VIRGENES RD STE 104, CALABASAS, CA 91302-2949
- **Practice address phone:** (818) 880-0799
- **Mailing address:** 2980 N BEVERLY GLEN CIR STE 301, LOS ANGELES, CA 90077-1735
- **Mailing address phone:** (310) 474-9809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 03/07/2011