Organization
HUMANITY MEDICAL GROUP INC.
Active
Other names
HUMANITY MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ROOT (MANAGER)
(562) 521-3624
Entity
Organization
Contact information
Practice address
1720 E LOS ANGELES AVE STE 231, SIMI VALLEY, CA 93065-5813
(805) 980-7574
(805) 426-8781
Mailing address
1720 E LOS ANGELES AVE STE 231, SIMI VALLEY, CA 93065-5813
(805) 980-7574
(805) 426-8781
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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