Organization
GREATER SAN GABRIEL VALLEY PHYSICIANS
Active
Other names
ECMG - GSGVP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXWELL OHIKHUARE M.D. (GROUP PRESIDENT)
(818) 461-5030
Entity
Organization
Contact information
Practice address
16030 VENTURA BLVD, SUITE 200, ENCINO, CA 91436-2731
(818) 461-5030
(818) 461-5095
Mailing address
16030 VENTURA BLVD, SUITE 200, ENCINO, CA 91436-2731
(818) 461-5030
(818) 461-5095
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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