Organization
MEDICAL PROFESSIONAL BILLING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JIWANMALL (ADMINISTRATOR)
(818) 854-6971
Entity
Organization
Contact information
Practice address
7727 MCLAREN AVE, WEST HILLS, CA 91304-3632
(818) 854-6971
(818) 854-6976
Mailing address
PO BOX 4517, WEST HILLS, CA 91308-4517
(818) 854-6971
(818) 854-6976
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
08/09/2013
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