VERDUGO INTERNAL MEDICINE A MEDICAL GROUP INC NPI 1427149236

NPI Information

VERDUGO INTERNAL MEDICINE A MEDICAL GROUP INC is an addiction medicine internal medicine in Glendale, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. VERDUGO INTERNAL MEDICINE A MEDICAL GROUP INC NPI is 1427149236. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1809 VERDUGO BLVD
STE 200
GLENDALE, CA
ZIP 91208
Phone: (818) 790-6225
Fax: (818) 790-6225

The provider's authorized official is Donald W Barber .
The authorized official title is President and has the following contact phone number (818) 790-6225.

The CLIA number assigned to this NPI record is 05D0557117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/31/2007.

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

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