Organization
CALIFORNIA CARE LEVEL MANAGEMENT DIRECT MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAOUF KHALIL MD (CEO)
(818) 591-3435
Entity
Organization
Contact information
Practice address
5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6579
(800) 377-3606
(818) 595-8206
Mailing address
5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6579
(800) 377-3606
(818) 595-8206
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33579
CA
Other
Enumeration date
12/15/2005
Last updated
08/13/2007
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