Organization · NPI-2
Bridge Medical Group, INC.
Clinic/Center · Encino, CA
NPI number1215260377
StatusActive
Last updated in NPPESMay 21, 2014
Details
- NPI
- 1215260377
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Sep 8, 2009
- Last updated
- May 21, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – |
Practice location
15720 Ventura BlvdSte. 400
Encino, CA 91436-2914
Phone 800-967-3309 · Fax 800-967-1138
Mailing address
P.O. Box 1992Santa Monica, CA 90406
Phone 800-967-3309
Authorized official
Jonathan Asher Yaker
Vice President
8009673309
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