| Noho West Medical Group, Inc. | |
|
12511 Oxnard St Unit A North Hollywood CA 91606-4458 | |
| (818) 745-8845 | |
| (818) 745-8835 |
| Full Name | Noho West Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12511 Oxnard St Unit A, North Hollywood, California |
| Authorized Official Name and Position | Maribeth Floresta Mckinney (NURSE PRACTITIONER) |
| Authorized Official Contact | 8187457745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noho West Medical Group, Inc. 12511 Oxnard St Unit A North Hollywood CA 91606-4458 Ph: (818) 745-8845 | Noho West Medical Group, Inc. 12511 Oxnard St Unit A North Hollywood CA 91606-4458 Ph: (818) 745-8845 |
| NPI Number | 1093512360 |
|---|---|
| Provider Enumeration Date | 02/25/2025 |
| Last Update Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093512360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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