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Viva Med Center PC

Internal Medicine in Encino, CA. Organization (NPI-2).

NPI number1295598571
StatusActive
Last updated in NPPESDec 31, 2024

Details

NPI
1295598571
Entity type
Organization (NPI-2)
Legal business name
Viva Med Center PC
Organization subpart
No
Enumeration date
Jan 31, 2024
Certification date
Dec 31, 2024
Last updated
Dec 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
174400000X Specialist––

Practice location

17609 Ventura Blvd Ste 203
Encino, CA 91316-5121

Phone 844-673-2600 · Fax 844-673-2601

Mailing address

17609 Ventura Blvd Ste 203
Encino, CA 91316-5121

Phone 844-673-2600 · Fax 844-673-2601

Authorized official

Babak Shabatian
Medical Director, Owner
8446732600

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