Organization
ALLY MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB FLORES M.D. (MEDICAL DIRECTOR)
(818) 340-3787
Entity
Organization
Contact information
Practice address
19825 VENTURA BLVD, WOODLAND HILLS, CA 91364-2627
(818) 340-3787
Mailing address
19825 VENTURA BLVD, WOODLAND HILLS, CA 91364-2627
(818) 340-3787
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
CA
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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