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COLLECTIVE HEALTH GROUP INC NPI 1245714351


NPI Information

NPI: 1245714351
Provider Name: COLLECTIVE HEALTH GROUP INC

Doing Business As: TARZANA MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
18607 VENTURA BLVD STE 302
TARZANA, CA
ZIP 91356
Phone: (818) 745-7590
Get Directions

COLLECTIVE HEALTH GROUP INC is a general practice in Tarzana, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COLLECTIVE HEALTH GROUP INC NPI is 1245714351. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tarzana Medical Group.

The provider's business location address is:

18607 VENTURA BLVD STE 302
TARZANA, CA
ZIP 91356-158
Phone: (818) 745-7590
Fax: (818) 938-9193

The provider's authorized official is David James Kyle .
The authorized official title is President/ceo/medical Director and has the following contact phone number (818) 745-7590.

The enumeration date for this NPI number is 9/24/2018 and was last updated on 9/25/2018.


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
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeYes

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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