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Mona Lisa Medical Group, Inc
Primary Care Clinic/Center in Van Nuys, California
NPI 1447909106

Mona Lisa Medical Group, Inc is a Primary Care Clinic/Center based in Van Nuys, CA and is specialized in Primary Care. Mona Lisa Medical Group, Inc practices in Van Nuys, CA. The NPI Number for Mona Lisa Medical Group, Inc is 1447909106 and holds a License No. (California).

The current practice location address for Mona Lisa Medical Group, Inc is 14856 Vanowen St, Van Nuys, CA and can be reached out via phone at 818-281-3935.

Location: 14856 Vanowen St, Van Nuys, CA, 91405-3828
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447909106
Provider Name
Mona Lisa Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
14856 Vanowen St, Van Nuys, CA, 91405-3828
Phone Number
818-281-3935
Fax Number
Provider Enumeration Date
03/21/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C22547 01 CA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
14856 Vanowen St
City
Van Nuys
State
California
Zip
91405-3828
Phone Number
818-281-3935
Fax Number
person
Provider Business Mailing Address Details
Address
14856 Vanowen St
City
Van Nuys
State
California
Zip
91405-3828
Phone Number
818-281-3935
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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