Organization
101 FAMILY MEDICAL GROUP,A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HESSAM AAZAMI M.D (MEDICAL DIRECTOR)
(818) 312-9101
Entity
Organization
Contact information
Practice address
22030 SHERMAN WAY STE 101, CANOGA PARK, CA 91303-1844
(818) 312-9101
(818) 312-9100
Mailing address
7201 ROCKRIDGE TER, WEST HILLS, CA 91307-1265
(818) 312-9101
(818) 312-9100
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A85704
CA
Other
Enumeration date
09/06/2009
Last updated
04/07/2011
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