Organization
CANOGA PARK MEDICAL GROUP A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A PERLMUTTER M.D. (PRESIDENT)
(818) 347-3077
Entity
Organization
Contact information
Practice address
7301 MEDICAL CENTER DR, SUITE 405, WEST HILLS, CA 91307-1904
(818) 347-3077
(818) 347-8334
Mailing address
7301 MEDICAL CENTER DR, SUITE 405, WEST HILLS, CA 91307-1904
(818) 347-3077
(818) 347-8334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A28598
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ72255Z
—
CA
Enumeration date
10/26/2007
Last updated
09/20/2010
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