Organization
AFFILIATES IN MEDICAL SPECIALTIES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANNETTE VALDEZ (BUSINESS OFFICE MGR)
(818) 347-2921
Entity
Organization
Contact information
Practice address
29525 CANWOOD ST, SUITE 300, AGOURA HILLS, CA 91301-4233
(818) 706-2477
(818) 706-2368
Mailing address
29525 CANWOOD ST, SUITE 300, AGOURA HILLS, CA 91301-4233
(818) 706-2477
(818) 706-2368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
09/25/2008
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