NPI 1013039163

Medicina Familiar Medical Group

Organisation Health Maintenance Organization Encino, CA

Practice location

Address: 16030 Ventura Blvd STE 200, Encino, CA 91436-2754
Phone: (818) 461-5030
Fax: (818) 461-5095

Authorised official

Name: Manuel Gonzalez-Diaz
Title: Group President
Phone: (818) 461-5030

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence A41311 (CA)

Other Health Maintenance Organization providers in California →

Registry record

NPI: 1013039163
Entity type: Organization
NPI issued: 6 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.