Organization
NATIONWIDE MEDICAL GROUP, INC
Active
Other names
Aegis Medical Systems, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GIRGIS M.D. (CHIEF MEDICAL DIRECTOR)
(661) 861-9967
Entity
Organization
Contact information
Practice address
11776 MARIPOSA RD, SUITE #103, HESPERIA, CA 92345-1622
(760) 956-2462
(760) 956-7542
Mailing address
7246 REMMET AVENUE, CANOGA PARK, CA 91303-1531
(818) 206-0360
(818) 206-0383
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
14837
CA
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008716M
—
CA
Enumeration date
01/04/2007
Last updated
06/15/2011
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