| Medgo | |
|
10025 Sully Dr Sun Valley CA 91352-4270 | |
| (818) 200-2400 | |
| (818) 450-0580 |
| Full Name | Medgo |
|---|---|
| Speciality | Family Medicine |
| Location | 10025 Sully Dr, Sun Valley, California |
| Authorized Official Name and Position | Annie Kazarova (OWNER) |
| Authorized Official Contact | 8182002400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medgo 10025 Sully Dr Sun Valley CA 91352-4270 | Medgo 10025 Sully Dr Sun Valley CA 91352-4270 Ph: (818) 200-2400 |
| NPI Number | 1184537441 |
|---|---|
| Provider Enumeration Date | 09/25/2026 |
| Last Update Date | 09/25/2026 |
| Certification Date | 09/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184537441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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