Organization
SAN FERNANDO VALLEY GASTROENTEROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY FELKAI (OFFICE MANAGER)
(818) 708-6000
Entity
Organization
Contact information
Practice address
18425 BURBANK BLVD STE 500, TARZANA, CA 91356-6691
(818) 708-6000
(818) 708-6009
Mailing address
18425 BURBANK BLVD STE 500, TARZANA, CA 91356-6691
(818) 708-6000
(818) 708-6009
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W1132
PTAN
CA
Enumeration date
10/26/2006
Last updated
06/02/2015
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