Organization
IMMANUEL MEDICAL OFFICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX L LIN (MD)
(818) 885-5342
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, CENTER FOR REHAB NHMC, NORTHRIDGE, CA 91325-4105
(818) 885-5342
Mailing address
18300 ROSCOE BLVD, CENTER FOR REHAB NHMC, NORTHRIDGE, CA 91325-4105
(818) 885-5342
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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