Organization
CARE LEVEL MANAGEMENT MEDICAL GROUP OF PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE JOHNSON (SR STAFFING COORDINATOR)
(818) 595-8180
Entity
Organization
Contact information
Practice address
1400 N PROVIDENCE RD, SUITE 1025, MEDIA, PA 19063-2043
(610) 892-8991
(610) 892-8966
Mailing address
5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6582
(800) 377-3606
(818) 595-8101
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
04/20/2008
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