Organization
WOODMAN MEDICAL CARE AND CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A HARTLEROAD MD (OWNER)
(818) 988-9825
Entity
Organization
Contact information
Practice address
13653 VICTORY BLVD, VAN NUYS, CA 91401-1735
(818) 988-9825
Mailing address
13653 VICTORY BLVD, VAN NUYS, CA 91401-1735
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00G749010
CA
208D00000X
General Practice Physician
00G749010
CA
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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