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Contact Information

CASPIAN MEDICAL CLINIC CORP
14103 VICTORY BLVD STE 7
VAN NUYS, CA91401-1998
 Phone: 818-994-0000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CASPIAN MEDICAL CLINIC CORP · (Female)

NPI # 1295967297
Status Active
Credentials
Entity Individual
Enumeration date 08/10/2009
Last updated 08/10/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A049235
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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