Healthcare Provider Details
I. General information
NPI: 1669995551
Provider Name (Legal Business Name): GET MED GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16927 VANOWEN ST STE 4
VAN NUYS CA
91406-4582
US
IV. Provider business mailing address
16927 VANOWEN ST STE 4
VAN NUYS CA
91406-4582
US
V. Phone/Fax
- Phone: 323-459-1543
- Fax:
- Phone: 323-459-1543
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DARREN
M.
BOYER
Title or Position: PRESIDENT
Credential: M. D.
Phone: 818-763-2801