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CONSERVATIVE CARE SPECIALIST MEDICAL GROUP NPI 1063828911


NPI Information

NPI: 1063828911
Provider Name: CONSERVATIVE CARE SPECIALIST MEDICAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6815 NOBLE AVE STE 105
VAN NUYS, CA
ZIP 91405
Phone: (818) 781-6684
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CONSERVATIVE CARE SPECIALIST MEDICAL GROUP is a specialist in Van Nuys, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CONSERVATIVE CARE SPECIALIST MEDICAL GROUP NPI is 1063828911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6815 NOBLE AVE STE 105
VAN NUYS, CA
ZIP 91405
Phone: (818) 781-6684

The provider's authorized official is Tammy Mehrer .
The authorized official title is Director and has the following contact phone number (818) 550-0900.

The enumeration date for this NPI number is 7/10/2014 and was last updated on 7/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG056728CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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