| Motion Picture And Television Fund Medical Group Inc | |
|
1950 Sawtelle Blvd Ste 130 Los Angeles CA 90025-7014 | |
| (310) 996-9355 | |
| (818) 876-1516 |
| Full Name | Motion Picture And Television Fund Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1950 Sawtelle Blvd, Los Angeles, California |
| Authorized Official Name and Position | Seth Ellis (VP CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8188761079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Motion Picture And Television Fund Medical Group Inc 23388 Mulholland Dr Mailstop 62 Woodland Hills CA 91364-2733 Ph: (818) 876-1636 | Motion Picture And Television Fund Medical Group Inc 1950 Sawtelle Blvd Ste 130 Los Angeles CA 90025-7014 Ph: (310) 996-9355 |
| NPI Number | 1619994449 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 02/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619994449 | NPI | - | NPPES |
| ZZZ09388Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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