Organization
NOHO WEST MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBETH FLORESTA MCKINNEY DNP (NURSE PRACTITIONER)
(818) 745-7745
Entity
Organization
Contact information
Practice address
12511 OXNARD ST UNIT A, NORTH HOLLYWOOD, CA 91606-4458
(818) 745-8845
(818) 745-8835
Mailing address
12511 OXNARD ST UNIT A, NORTH HOLLYWOOD, CA 91606-4458
(818) 745-8845
(818) 745-8835
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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