Organization
VINCENT POGO HEALTH OF NV PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MALONEY (COO)
(805) 975-0006
Entity
Organization
Contact information
Practice address
26342 FAIRSIDE RD, MALIBU, CA 90265-2927
(805) 975-5006
Mailing address
2287 MULHOLLAND HWY, #526, CALABASAS, CA 90290
(805) 975-0006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
06/01/2023
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