NPI 1215991278

San Fernando Mission Medical Grp

Organisation Ph.D. Medical Genetics Panorama City, CA

Practice location

Address: 8215 van Nuys Blvd 210-204, Panorama City, CA 91402-4810
Phone: (818) 782-4325
Fax: (818) 782-7320

Authorised official

Name: Erlinda Dy Grey
Title: Medical Director
Phone: (818) 782-4325

Registered specialties

Ph.D. Medical Genetics Primary

Other Service Providers Taxonomy 170100000X Licence A30427 (CA)

Other Medical Genetics, Ph.D. Medical Genetics providers in California →

Registry record

NPI: 1215991278
Entity type: Organization
NPI issued: 14 Apr 2006
Record last updated: 19 Oct 2011

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.