Individual
JOHN MCCONNELLOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7301 MEDICAL CENTER DR STE 404, WEST HILLS, CA 91307-1930
(818) 347-3239
(818) 348-0444
Mailing address
7301 MEDICAL CENTER DR STE 404, WEST HILLS, CA 91307-1930
(818) 347-3239
(818) 348-0444
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G32529
CA
208D00000X
General Practice Physician
Primary
G32529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G325290
—
CA
Enumeration date
05/03/2006
Last updated
03/10/2020
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