Organization
VALLEY PEDIATRIC MEDICAL GROUP,INC.
Active
Other names
VALLEY PEDIATRIC MEDICAL GROUP,INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARYN YOUNG (CREDENTIALING MANAGER)
(818) 789-7181
Entity
Organization
Contact information
Practice address
5353 BALBOA BLVD, SUITE 104, ENCINO, CA 91316-2804
(818) 789-7181
(818) 986-8322
Mailing address
5353 BALBOA BLVD, SUITE 104, ENCINO, CA 91316-2804
(818) 789-7181
(818) 986-8322
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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