Organization
PATRICK J. CANNON, MD FACS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JAMES CANNON MD (PRESIDENT)
(818) 788-5700
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD, SUITE 300, ENCINO, CA 91436-2500
(818) 788-5700
(818) 788-5702
Mailing address
16101 VENTURA BLVD, SUITE 300, ENCINO, CA 91436-2500
(818) 788-5700
(818) 788-5702
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G29054
CA
Other
Enumeration date
10/20/2010
Last updated
04/12/2012
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