SOUTH VALLEY INTERNAL MEDICINE A MEDICAL CORPORATION NPI 1962475244

NPI Information

SOUTH VALLEY INTERNAL MEDICINE A MEDICAL CORPORATION is a specialist in Tarzana, 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. SOUTH VALLEY INTERNAL MEDICINE A MEDICAL CORPORATION NPI is 1962475244. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18356 CLARK ST
SUITE 101
TARZANA, CA
ZIP 91356-502
Phone: (626) 397-4910
Fax: (626) 397-4911

The provider's authorized official is Eugenia Villalba .
The authorized official title is Practive Manger and has the following contact phone number (626) 397-4910.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 4/29/2008.

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:

Other Identifiers

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

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