Organization
COMPASSIONATE CRITICAL CARE GROUP, INC.
Active
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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