| Endeavor Medical Group | |
|
20246 Saticoy St Ste 201 Winnetka CA 91306-4433 | |
| (818) 812-9506 | |
| (818) 812-9508 |
| Full Name | Endeavor Medical Group |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 20246 Saticoy St Ste 201, Winnetka, California |
| Authorized Official Name and Position | Timur Ruslanovich Pogodin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8188129506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Medical Group 20246 Sitacoy Street Ste# 201 Winnetka CA 91306 Ph: (818) 812-9506 | Endeavor Medical Group 20246 Saticoy St Ste 201 Winnetka CA 91306-4433 Ph: (818) 812-9506 |
| NPI Number | 1528586096 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528586096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A133706 (California) | Primary |
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