Organization
SHERMAN OAKS INTEGRATED MEDICAL GROUP, INC.
Active
Other names
Health Atlast Sherman Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
BRYCE MATTHEWS (MINORITY OWNER)
(818) 786-5985
Entity
Organization
Contact information
Practice address
4835 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2109
(818) 786-5985
(818) 786-6849
Mailing address
4835 VAN NUYS BLVD, SUITE 105, SHERMAN OAKS, CA 91403-2109
(818) 786-5985
(818) 786-6849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A102275
CA
Other
Enumeration date
04/05/2016
Last updated
04/03/2017
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