| Wsw Md Group Inc | |
|
12826 Victory Blvd Ste D North Hollywood CA 91606-3066 | |
| (310) 651-4252 | |
| Not Available |
| Full Name | Wsw Md Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12826 Victory Blvd Ste D, North Hollywood, California |
| Authorized Official Name and Position | Barbara T Callahan (CEO) |
| Authorized Official Contact | 3106514252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wsw Md Group Inc 12826 Victory Blvd Ste D North Hollywood CA 91606-3066 Ph: (310) 651-4252 | Wsw Md Group Inc 12826 Victory Blvd Ste D North Hollywood CA 91606-3066 Ph: (310) 651-4252 |
| NPI Number | 1811552219 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811552219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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