Alj Medical Group, INC.
Family Medicine in North Hollywood, CA. Organization (NPI-2).
NPI number1659601870
StatusActive
Last updated in NPPESJan 11, 2010
Details
- NPI
- 1659601870
- Entity type
- Organization (NPI-2)
- Legal business name
- Alj Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Jan 11, 2010
- Last updated
- Jan 11, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | G43207 | CA | Yes |
Practice location
10545 Burbank Blvd112
North Hollywood, CA 91601-2245
Phone 818-979-4962 · Fax 818-760-1415
Mailing address
10545 Burbank Blvd112
North Hollywood, CA 91601-2245
Phone 818-979-4962 · Fax 818-760-1415
Authorized official
Anthony Jackson
President
8189794962
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