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NPI Code Detail

MEDICARE: OASIS FAMILY MEDICINE INC

MEDICARE: OASIS FAMILY MEDICINE 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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1740568005
Entity Type Code : Organization
Provider Name (Legal Business Name) : OASIS FAMILY MEDICINE INC
Provider Business Mailing Address
First Line : 2029 VERDUGO BLVD
Second Line : PMB 769
City : MONTROSE
State : CA
Zip : 91020-1626
Country : US
Telephone Number : 818-646-6909
Fax Number : 888-584-9315
Provider Business Practice Location Address
First Line : 3527 OCEAN VIEW BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1211
Country : US
Telephone Number : 818-646-6909
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : YOSHI RAHM
Credential : D.O.
Telephone Number : 818-646-6909
Provider Enumeration Date : 08/03/2011
Last Update Date : 08/03/2011

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Directions to “OASIS FAMILY MEDICINE INC ” Practice Location

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