<Unavail>

LBN: Private Medical Group
<Unavail> is an health care organization with primary practice located at 22600 Ventura Blvd. Suite 104, Woodland Hills CA 91364-1458. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Private Medical Group can be contacted via phone (818) 225-1617, or through Hanson, Robert Kevin via phone (818) 225-1617.

Contact Information

Primary practice address
22600 Ventura Blvd. Suite 104 Woodland Hills CA 91364-1458
Phone: (818) 225-1617
Fax: (818) 225-1620
Website:
Map and Directions
Authorized official contact:
Name: Hanson, Robert Kevin Doctor of Medicine (MD)
Phone: (818) 225-1617

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G62711 California

Profile Details

NPI number 1710104369
LBN Legal business name Private Medical Group
DBA Doing business as <Unavail>
Authorized official Hanson, Robert Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710104369 NPPES
California Other G62711 STATE LICENSE
California Other ZZZ90227Z STATE LICENSE

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