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Organization
HUMANITY MEDICAL GROUP INC.
Active
Organization
HUMANITY MEDICAL GROUP INC.
Active
Other names
HUMANITY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ROOT (MANAGER)
(562) 521-3624
Entity
Organization
Contact information
Practice address
1720 E LOS ANGELES AVE STE 231, SIMI VALLEY, CA 93065-5813
(805) 980-7574
(805) 426-8781
Mailing address
1720 E LOS ANGELES AVE STE 231, SIMI VALLEY, CA 93065-5813
(805) 980-7574
(805) 426-8781
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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