MEDICARE: ROYAL NATIONAL MEDICAL GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	C50937	CA

General Provider Information

NPI Number	:	1427075456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL NATIONAL MEDICAL GROUP INC.

Provider Business Mailing Address
First Line	:	5178 PARKWAY CALABASAS
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1480
Country	:	US
Telephone Number	:	818-222-7546
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 S GLENOAKS BLVD
Second Line	:	SUITE 6
City	:	BURBANK
State	:	CA
Zip	:	91502-1319
Country	:	US
Telephone Number	:	818-846-5959
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD DOYAN
Credential	:	M.D.
Telephone Number	:	818-222-7546

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	10/27/2009

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