SAN FERNANDO MISSION MEDICAL GRP NPI 1215991278

NPI Information

SAN FERNANDO MISSION MEDICAL GRP is a medical genetics phd medical genetics in Panorama City, CA. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. SAN FERNANDO MISSION MEDICAL GRP NPI is 1215991278. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Mission Medical Group.

The provider's business location address is:

8215 VAN NUYS BLVD
210-204
PANORAMA CITY, CA
ZIP 91402-810
Phone: (818) 782-4325
Fax: (818) 782-7320

The provider's authorized official is Erlinda Dy Grey .
The authorized official title is Medical Director and has the following contact phone number (818) 782-4325.

The enumeration date for this NPI number is 4/14/2006 and was last updated on 10/19/2011.

Taxonomy Codes

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Other Identifiers

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