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Organization

NORTHRIDGE FREE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SOHAN LAL DUA M.D. (PRESIDENT)
(818) 886-7322
Entity
Organization

Contact information

Practice address
8349 RESEDA BLVD STE G, NORTHRIDGE, CA 91324-5914
(818) 886-7322
(818) 477-1052
Mailing address
8349 RESEDA BLVD STE G, NORTHRIDGE, CA 91324-5914
(818) 886-7322
(818) 477-1052

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A25072
CA

Other

Enumeration date
10/28/2014
Last updated
10/28/2014
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