Los Angeles County - North Hollywood Mtu

Specialty details in registry · North Hollywood, CA

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At a glance

12827 Saticoy St, North Hollywood, CA 91605-3506

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

12827 Saticoy St
North Hollywood, CA 91605-3506
Professional details: NPI, taxonomy & registry record
NPI1003961525
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR0400X
Enumeration date
Jan 24, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QR0400X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12827 Saticoy St
North Hollywood, CA 91605-3506
Phone
(818) 765-2076
Mailing address
9320 TELSTAR AVE STE 226

EL MONTE, CA 917312849
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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