Organization
NATIONWIDE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GIRGIS M.D. (DIRECTOR)
(661) 861-9967
Entity
Organization
Contact information
Practice address
2321 PONTIUS AVE, LOS ANGELES, CA 90064-1809
(310) 478-8066
(310) 478-8821
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
(818) 206-0383
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087162
—
CA
Enumeration date
01/05/2007
Last updated
04/14/2008
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