| Regal Medical Group, Inc. | |
|
8510 Balboa Blvd Ste 150 Northridge CA 91325-3583 | |
| (818) 654-3400 | |
| (818) 654-3417 |
| Full Name | Regal Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8510 Balboa Blvd, Northridge, California |
| Authorized Official Name and Position | Mary Coash (VP LEGAL AFFAIRS) |
| Authorized Official Contact | 8186543400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regal Medical Group, Inc. 8510 Balboa Blvd Ste 150 Northridge CA 91325-3583 Ph: (818) 654-3400 | Regal Medical Group, Inc. 8510 Balboa Blvd Ste 150 Northridge CA 91325-3583 Ph: (818) 654-3400 |
| NPI Number | 1588748073 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588748073 | NPI | - | NPPES |
| GR0103480 | Medicaid | CA |
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