Cole MD Medical Group, INC.
Family Medicine in Canoga Park, CA. Organization (NPI-2).
NPI number1386017366
StatusActive
Last updated in NPPESNov 12, 2015
Details
- NPI
- 1386017366
- Entity type
- Organization (NPI-2)
- Legal business name
- Cole MD Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Nov 12, 2015
- Last updated
- Nov 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G67490 | CA | Yes |
Practice location
22203 Sherman WayCanoga Park, CA 91303-1048
Phone 818-854-4400
Mailing address
22203 Sherman WayCanoga Park, CA 91303-1048
Phone 818-854-4400
Authorized official
Dyan Cole
President/Ceo
8188544400
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