PORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION is a family medicine in Porter Ranch, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PORTER RANCH INTEGRATIVE MEDICAL CLINIC, A PROFESSIONAL CORPORATION NPI is 1043642358. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
11177 TAMPA AVE STE A PORTER RANCH, CA ZIP 91326-254 Phone: (818) 831-8000 Fax: (818) 831-8005
The provider's authorized official is Bennett Annan . The authorized official title is General Manager and has the following contact phone number (818) 831-8000.
The enumeration date for this NPI number is 8/8/2013 and was last updated on 8/8/2013.
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:
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: 3/30/2025
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