Organization
HERBERT S RADLEY MD & HAROLD M COHEN MD MEDICAL CORPORATION
Active
Other names
Sylmar Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASEM FANOUS M.D. (CFO)
(818) 367-1012
Entity
Organization
Contact information
Practice address
14124 FOOTHILL BLVD, STE 100, SYLMAR, CA 91342-8049
(818) 367-1012
(818) 367-7570
Mailing address
14124 FOOTHILL BLVD, STE 100, SYLMAR, CA 91342-8049
(818) 367-1012
(818) 367-7570
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ70244Z
—
CA
Enumeration date
07/05/2006
Last updated
07/21/2022
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