WOODVIC MEDICAL CARE AND CLINIC CORP NPI 1023343571

NPI Information

WOODVIC MEDICAL CARE AND CLINIC, CORP is a general practice in Van Nuys, CA. WOODVIC MEDICAL CARE AND CLINIC, CORP NPI is 1023343571. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13653 VICTORY BLVD
VAN NUYS, CA
ZIP 91401-735
Phone: (818) 988-9825
Fax: (818) 988-9305

The provider's authorized official is Alla Koroleva .
The authorized official title is Owner and has the following contact phone number (818) 988-9825.

The enumeration date for this NPI number is 10/15/2009 and was last updated on 2/22/2010.

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:

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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