Organization
SAN FERNANDO VALLEY NEUROLOGIC MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A WIENIR MD (PRESIDENT)
(818) 996-3880
Entity
Organization
Contact information
Practice address
18370 BURBANK BLVD, #107, TARZANA, CA 91356
(818) 996-3880
(818) 996-1679
Mailing address
18370 BURBANK BLVD, #107, TARZANA, CA 91356
(818) 996-3880
(818) 996-1679
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
04/20/2009
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