Organization
SANTA BARBARA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DANIEL FORD M.D. (PRESIDENT)
(818) 884-8607
Entity
Organization
Contact information
Practice address
7111 WINNETKA AVE, SUITE 14, CANOGA PARK, CA 91306-3672
(818) 884-8607
(818) 884-8619
Mailing address
7111 WINNETKA AVE, SUITE 14, CANOGA PARK, CA 91306-3672
(818) 884-8607
(818) 884-8619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A122580
CA
208D00000X
General Practice Physician
Primary
A122580
CA
Other
Enumeration date
04/05/2013
Last updated
04/05/2013
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