Organization
EXCEPTIONAL CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXWELL OHIKHUARE M.D. (GROUP PRESIDENT)
(818) 461-5030
Entity
Organization
Contact information
Practice address
16030 VENTURA BLVD STE 200, ENCINO, CA 91436-2754
(818) 461-5030
(818) 461-5095
Mailing address
16030 VENTURA BLVD STE 200, ENCINO, CA 91436-2754
(818) 461-5030
(818) 461-5095
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
G39164
CA
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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