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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