| Ltc Physicians, LLC | |
|
29830 Wisteria Valley Rd Santa Clarita CA 91387-1954 | |
| (818) 667-6488 | |
| Not Available |
| Full Name | Ltc Physicians, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 29830 Wisteria Valley Rd, Santa Clarita, California |
| Authorized Official Name and Position | Mark Gobrial (PRESIDENT) |
| Authorized Official Contact | 8186676488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ltc Physicians, LLC 8834 Reseda Blvd # 2052 Northridge CA 91324-4039 | Ltc Physicians, LLC 29830 Wisteria Valley Rd Santa Clarita CA 91387-1954 Ph: (818) 667-6488 |
| NPI Number | 1457073983 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457073983 | NPI | - | NPPES |
| 20A15290 | Other | CA | FAMILY PRACTICE |
| A148741 | Other | CA | INTERNAL MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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