Organization
MIDVALLEY MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELSAGAV SHAHAM (MD)
(818) 851-5540
Entity
Organization
Contact information
Practice address
14550 ARCHWOOD ST # 106, VAN NUYS, CA 91405-4604
(818) 951-5540
(818) 851-5544
Mailing address
14550 ARCHWOOD ST # 106, VAN NUYS, CA 91405-4604
(818) 951-5540
(818) 851-5544
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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