| Dmb MD Group Inc | |
|
7535 Laurel Canyon Blvd North Hollywood CA 91605-3149 | |
| (818) 962-5505 | |
| (811) 821-6722 |
| Full Name | Dmb MD Group Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7535 Laurel Canyon Blvd, North Hollywood, California |
| Authorized Official Name and Position | Darren Michael Boyer (CEO) |
| Authorized Official Contact | 3234591543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmb MD Group Inc 1431 Ocean Ave Apt 1201 Santa Monica CA 90401-2147 Ph: (323) 459-1543 | Dmb MD Group Inc 7535 Laurel Canyon Blvd North Hollywood CA 91605-3149 Ph: (818) 962-5505 |
| NPI Number | 1144733825 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144733825 | NPI | - | NPPES |
| 1992960462 | Other | NPI-1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A111784 (California) | Primary |
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