| Bridge Medical Group, Inc. | |
|
15720 Ventura Blvd Ste. 400 Encino CA 91436-2914 | |
| (800) 967-3309 | |
| (800) 967-1138 |
| Full Name | Bridge Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 15720 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Jonathan Asher Yaker (VICE PRESIDENT) |
| Authorized Official Contact | 8009673309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Medical Group, Inc. P.o. Box 1992 Santa Monica CA 90406 Ph: (800) 967-3309 | Bridge Medical Group, Inc. 15720 Ventura Blvd Ste. 400 Encino CA 91436-2914 Ph: (800) 967-3309 |
| NPI Number | 1215260377 |
|---|---|
| Provider Enumeration Date | 09/08/2009 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215260377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (NU) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (NU) | Secondary |
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