Organization
VILLAGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON TERRY (OPERATIONS ADMINISTRATOR)
(831) 915-7443
Entity
Organization
Contact information
Practice address
8109 MCCONNELL AVE, LOS ANGELES, CA 90045-2717
(213) 340-2947
Mailing address
2261 MARKET ST STE 86187, SAN FRANCISCO, CA 94114-1612
(213) 340-2947
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
208000000X
Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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