Organization
SAINT MARYS MED GROUP A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L LEE NELSON MD (PRESIDENT)
(818) 262-4401
Entity
Organization
Contact information
Practice address
14624 SHERMAN WAY STE 401, VAN NUYS, CA 91405-5848
(818) 262-4401
Mailing address
14624 SHERMAN WAY STE 401, VAN NUYS, CA 91405-5848
(818) 262-4401
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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