Organization
GARRISON FAMILY MEDICAL GROUP CANYON COUNTRY
Active
Parent organization
GARRISON FAMILY MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARRISON FAMILY MEDICAL GROUP
Authorized official
MRS. ANTONETTE ABATTI (BUSINESS ADMINISTRATOR)
(661) 947-7100
Entity
Organization
Contact information
Practice address
18520 VIA PRINCESSA, SUITE C, CANYON COUNTRY, CA 91387-8326
(888) 333-2996
Mailing address
41210 11TH ST W, SUITE C, PALMDALE, CA 93551-1447
(661) 947-7100
(661) 947-5151
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G50780
CA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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