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CANYON MEDICAL CENTER CORPORATION NPI 1164679718


NPI Information

NPI: 1164679718
Provider Name: CANYON MEDICAL CENTER CORPORATION
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
4937 LAS VIRGENES RD
SUITE 104
CALABASAS, CA
ZIP 91302
Phone: (818) 880-0799
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CANYON MEDICAL CENTER CORPORATION is an adult medicine family medicine in Calabasas, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. CANYON MEDICAL CENTER CORPORATION NPI is 1164679718. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4937 LAS VIRGENES RD
SUITE 104
CALABASAS, CA
ZIP 91302-949
Phone: (818) 880-0799
Fax: (818) 880-6689

The provider's authorized official is David Vesco .
The authorized official title is Owner and has the following contact phone number (818) 880-0799.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 11/14/2014.


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
1207QA0505XFamily MedicineAdult Medicine43384ACALIFORNIAYes

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
1W11585MEDICARE PINCALIFORNIA

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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