Organization
COMPREHENSIVE MATERNAL-FETAL MEDICINE CENTER, A PROFESSIONAL MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY ZION MANSANO M.D. (PRESIDENT)
(818) 345-2455
Entity
Organization
Contact information
Practice address
18399 VENTURA BLVD, 249, TARZANA, CA 91356-4233
(818) 345-2455
(818) 344-3101
Mailing address
5343 OSTROM AVE, ENCINO, CA 91316-2631
(818) 345-2455
(818) 344-3101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A84716
CA
Other
Enumeration date
08/27/2015
Last updated
10/27/2015
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