Organization
COMPASSIONATE CRITICAL CARE GROUP, INC.
Active
Other names
Compassionate Critical Care Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MAZZA (BILLER)
(805) 383-9811
Entity
Organization
Contact information
Practice address
22543 VENTURA BLVD STE 220, WOODLAND HILLS, CA 91364-1403
(805) 383-9811
(805) 987-5727
Mailing address
22543 VENTURA BLVD UNIT 220-401, WOODLAND HILLS, CA 91364-1412
(805) 383-9811
(805) 978-5727
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619105426
OTHER
CA
Enumeration date
10/08/2020
Last updated
11/02/2020
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