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MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC NPI 1528265584


NPI Information

NPI: 1528265584
Provider Name: MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC

Other Name: CENTER ON AGING

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
23388 MULHOLLAND DR
MAILSTOP 260
WOODLAND HILLS, CA
ZIP 91364
Phone: (818) 876-1636
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MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC is a geriatric medicine internal medicine in Woodland Hills, CA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MOTION PICTURE AND TELEVISION FUND MEDICAL GROUP INC NPI is 1528265584. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Center On Aging.

The provider's business location address is:

23388 MULHOLLAND DR
MAILSTOP 260
WOODLAND HILLS, CA
ZIP 91364-733
Phone: (818) 876-1636

The provider's authorized official is Seth Ellis .
The authorized official title is Vp Chief Operating Officer and has the following contact phone number (818) 876-1079.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 2/8/2010.


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
11041C0700XSocial WorkerClinicalNo
2363L00000XNurse PractitionerNo
3207RG0300XInternal MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ09390ZOTHERCALIFORNIABLUE SHIELD

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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