101 FAMILY MEDICAL GROUP,A PROFESSIONAL CORP is a primary care clinic center in Canoga Park, CA. 101 FAMILY MEDICAL GROUP,A PROFESSIONAL CORP NPI is 1174856348. The provider is registered as an organization entity type.
The provider's business location address is:
22030 SHERMAN WAY STE 101
CANOGA PARK, CA
ZIP 91303-844
Phone: (818) 312-9101
Fax: (818) 312-9100
The provider's authorized official is Hessam Aazami .
The authorized official title is Medical Director and has the following contact phone number (818) 312-9101.
The CLIA number assigned to this NPI record is 05D2005248 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/6/2009 and was last updated on 4/7/2011.