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MID-VALLEY PULMONARY MEDICAL GROUP INC. NPI 1689688335


NPI Information

NPI: 1689688335
Provider Name: MID-VALLEY PULMONARY MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
4955 VAN NUYS BLVD
#502
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 325-0200
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MID-VALLEY PULMONARY MEDICAL GROUP, INC. is a pulmonary disease internal medicine in Sherman Oaks, CA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. MID-VALLEY PULMONARY MEDICAL GROUP, INC. NPI is 1689688335. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4955 VAN NUYS BLVD
#502
SHERMAN OAKS, CA
ZIP 91403-817
Phone: (818) 325-0200
Fax: (818) 325-0210

The provider's authorized official is Nechemia B Peleg .
The authorized official title is Cfo, Vp and has the following contact phone number (818) 325-0200.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 8/9/2011.


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
1207RP1001XInternal MedicinePulmonary Disease0870516CALIFORNIANo
2207RG0100XInternal MedicineGastroenterologyNo
3207RP1001XInternal MedicinePulmonary DiseaseYes

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
1GR0022520MEDICAIDCALIFORNIA
28727834MEDICARE PIN

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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