Organization
CANYON MEDICAL CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID VESCO MD (OWNER)
(818) 880-0799
Entity
Organization
Contact information
Practice address
4937 LAS VIRGENES RD, SUITE 104, CALABASAS, CA 91302-2949
(818) 880-0799
(818) 880-6689
Mailing address
4937 LAS VIRGENES RD, SUITE 104, CALABASAS, CA 91302-2949
(818) 880-0799
(818) 880-6689
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
43384A
CA
Other
Enumeration date
08/26/2008
Last updated
11/14/2014
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