Organization
PACIFIC HERITAGE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITIN NANDA M.D (PRESIDENT)
(805) 601-5199
Entity
Organization
Contact information
Practice address
3625 E THOUSAND OAKS BLVD STE 232, WESTLAKE VILLAGE, CA 91362-6932
(805) 601-5199
Mailing address
3625 E THOUSAND OAKS BLVD STE 232, WESTLAKE VILLAGE, CA 91362-6932
(805) 601-5199
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
A56386
CA
Other
Enumeration date
05/30/2013
Last updated
12/20/2022
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