Organization
COLLECTIVE HEALTH GROUP INC
Active
Parent organization
COLLECTIVE HEALTH GROUP INC
Other names
TARZANA MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLECTIVE HEALTH GROUP INC
Authorized official
DR. DAVID JAMES KYLE DO (PRESIDENT/CEO/MEDICAL DIRECTOR)
(818) 745-7590
Entity
Organization
Contact information
Practice address
18607 VENTURA BLVD STE 302, TARZANA, CA 91356-4158
(818) 745-7590
(818) 938-9193
Mailing address
18607 VENTURA BLVD STE 302, TARZANA, CA 91356-4158
(818) 745-7590
(818) 938-9193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/25/2018
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