Organization
PHILIP CONWISAR MD INC.
Active
Other names
Valley Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CONWISAR M.D. (OWNER)
(818) 784-1354
Entity
Organization
Contact information
Practice address
4835 VAN NUYS BLVD, SUITE 210, SHERMAN OAKS, CA 91403-2109
(818) 784-1354
(818) 784-5705
Mailing address
4835 VAN NUYS BLVD, SUITE 210, SHERMAN OAKS, CA 91403-2109
(818) 784-1354
(818) 784-5705
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G74333
CA
Other
Enumeration date
09/26/2011
Last updated
10/06/2011
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