Organization
SHERMAN OAKS INTEGRATED MEDICAL GROUP, INC.
Active
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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