Organization
U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC
Active
Organization
U.S. HEALTHWORKS MEDICAL GROUP OF ALASKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH T. MALLAS (EXECUTIVE VP)
(661) 678-2600
Entity
Organization
Contact information
Practice address
25124 SPRINGFIELD CT, SUITE 200, VALENCIA, CA 91355-1085
(661) 678-2600
(661) 678-2700
Mailing address
25124 SPRINGFIELD COURT, SUITE 200, VALENCIA, CA 91355-1085
(661) 678-2600
(661) 678-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02D0640776
CLIA - PCA
AK
01
—
02D0674243
CLIA - HUFFMAN CLINIC
AK
01
—
02D0943068
CLIA - EAGLE RIVER CLINIC
AK
01
—
02D0991092
CLIA - LOUC
AK
01
—
209000700
DEPT. OF LABOR - LOUC
AK
01
—
209000701
DEPT. OF LABOR - PCA
AK
01
—
209000702
DEPT. OF LABOR - EAGLE RI
AK
01
—
209000703
DEPT. OF LABOR - HUFFMAN
AK
05
—
MDG269
—
AK
05
—
MDG2691
—
AK
05
—
MDG2692
—
AK
05
—
MDG2693
—
AK
Enumeration date
01/19/2006
Last updated
12/20/2016
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