Organization
DENQ CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P. DENQ M.D. (PRESIDENT)
(818) 885-1005
Entity
Organization
Contact information
Practice address
18251 ROSCOE BLVD, SUITE 105, NORTHRIDGE, CA 91325-4200
(818) 885-1005
(818) 885-7811
Mailing address
18251 ROSCOE BLVD, SUITE 105, NORTHRIDGE, CA 91325-4200
(818) 885-1005
(818) 885-7811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A065839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A658390
—
CA
Enumeration date
01/16/2007
Last updated
08/22/2020
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