Organization
PHOENIX MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WENDY MORLEY (BILLER)
(818) 701-1800
Entity
Organization
Contact information
Practice address
4355 E AIRPORT DR, SUITE 100, ONTARIO, CA 91761-7812
(818) 701-1800
(818) 885-1171
Mailing address
4355 E AIRPORT DR, SUITE 100, ONTARIO, CA 91761-7812
(818) 701-1800
(818) 885-1171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
CA
207X00000X
Orthopaedic Surgery Physician
—
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
CA
225100000X
Physical Therapist
—
CA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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