Organization
MID-VALLEY PULMONARY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NECHEMIA B PELEG MD (CFO, VP)
(818) 325-0200
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD, #502, SHERMAN OAKS, CA 91403-1817
(818) 325-0200
(818) 325-0210
Mailing address
4955 VAN NUYS BLVD, #502, SHERMAN OAKS, CA 91403-1817
(818) 325-0200
(818) 325-0210
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
0870516
CA
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022520
—
CA
Enumeration date
07/28/2006
Last updated
08/09/2011
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