Individual
GEORGE MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14550 HAYNES ST, VAN NUYS, CA 91411-1613
(818) 650-6700
Mailing address
14550 HAYNES ST, VAN NUYS, CA 91411-1613
(818) 650-6700
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
17407
NH
207RC0000X
Cardiovascular Disease Physician
2004-0348
NM
207RC0000X
Cardiovascular Disease Physician
Primary
G39414
CA
Other
Enumeration date
08/02/2006
Last updated
09/03/2020
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