Organization
INTERNATIONAL MEDICAL GROUP INC
Active
Other names
International Medical Group Inc Home Health & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY VERA MD (CEO)
(323) 893-6632
Entity
Organization
Contact information
Practice address
14431 VENTURA BLVD # 507, SHERMAN OAKS, CA 91423-2606
(323) 893-6632
(323) 417-4865
Mailing address
14431 VENTURA BLVD, #507, SHERMAN OAKS, CA 91423-0152
(323) 893-6632
(323) 417-4865
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
532014
CA
251S00000X
Community/Behavioral Health Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215464334
—
CA
Enumeration date
05/19/2017
Last updated
07/21/2022
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