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Organization

CANOGA PARK URGENT CARE FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYRUS FERIDOUNI M.D. (PRESIDENT)
(818) 744-4369
Entity
Organization

Contact information

Practice address
20905 SHERMAN WAY, CANOGA PARK, CA 91303-1743
(818) 744-4369
(310) 444-0606
Mailing address
20905 SHERMAN WAY, CANOGA PARK, CA 91303-1743
(818) 744-4369
(310) 444-0606

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
A92103
CA
208D00000X
General Practice Physician
Primary
A97912
CA

Other

Enumeration date
05/04/2012
Last updated
10/22/2024
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