Organization
CANON MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD SALICK M.D., (PHYSICIAN)
(310) 274-3400
Entity
Organization
Contact information
Practice address
414 N CAMDEN DR, SUITE 775, BEVERLY HILLS, CA 90210-4532
(310) 274-7300
(310) 274-7301
Mailing address
9777 WILSHIRE BLVD, STE 512, BEVERLY HILLS, CA 90212-1905
(310) 967-3300
(310) 967-3377
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
W7122
CA
Other
Enumeration date
01/11/2006
Last updated
12/17/2015
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