Organization
MONA LISA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVA MARSH MD (CEO/MEDICAL DIRECTOR)
(747) 717-2993
Entity
Organization
Contact information
Practice address
14856 VANOWEN ST, VAN NUYS, CA 91405-3828
(747) 717-2993
Mailing address
14856 VANOWEN ST, VAN NUYS, CA 91405-3828
(747) 717-2993
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C22547
MEDICAL LICENSE
CA
Enumeration date
03/21/2022
Last updated
07/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us