VALLEY VIEW FAMILY MEDICAL CLINICINC NPI 1194912741

NPI Information

VALLEY VIEW FAMILY MEDICAL CLINIC,INC is a general practice in Panorama City, CA. VALLEY VIEW FAMILY MEDICAL CLINIC,INC NPI is 1194912741. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14400 ROSCOE BLVD STE B
PANORAMA CITY, CA
ZIP 91402-001
Phone: (818) 830-6888
Fax: (818) 830-6891

The provider's authorized official is Hermilito Villar .
The authorized official title is Owner and has the following contact phone number (818) 830-6888.

The CLIA number assigned to this NPI record is 05D0684277 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2007 and was last updated on 2/9/2017.

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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