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Organization

SHERMAN OAKS MEDICAL ASSOCIATES A PROF CORP

Active
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Organization

SHERMAN OAKS MEDICAL ASSOCIATES A PROF CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD MARK GOLDSTEIN M.D. (PRESIDENT)
(747) 998-5300
Entity
Organization

Contact information

Practice address
15476 VENTURA BLVD STE A, SHERMAN OAKS, CA 91403-3002
(747) 998-5300
(747) 998-5277
Mailing address
15476 VENTURA BLVD STE A, SHERMAN OAKS, CA 91403-3002
(747) 998-5300
(747) 998-5277

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A31044
CA

Other

Enumeration date
01/09/2018
Last updated
01/09/2018
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