Organization
NATIONWIDE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GIRGIS M.D. (DIRECTOR)
(661) 861-9967
Entity
Organization
Contact information
Practice address
1450 N LAKE AVE STE 150, PASADENA, CA 91104-2301
(626) 794-1161
(626) 794-6071
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
(818) 206-0383
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008716I
—
CA
Enumeration date
01/05/2007
Last updated
10/03/2012
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