Organization
SAN FERNANDO VALLEY GASTROENTEROLOGY MEDICAL GROUP INC
Active
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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