Organization
CONSERVATIVE CARE SPECIALIST MEDICAL GROUP
Active
Parent organization
CONSERVATIVE CARE SPECIALIST MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONSERVATIVE CARE SPECIALIST MEDICAL GROUP
Authorized official
MRS. TAMMY MEHRER (DIRECTOR)
(818) 550-0900
Entity
Organization
Contact information
Practice address
6815 NOBLE AVE STE 105, VAN NUYS, CA 91405
(818) 781-6684
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(303) 953-8260
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G056728
CA
Other
Enumeration date
07/10/2014
Last updated
07/17/2018
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