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General NPI Number Information
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NPI Number | 1609691120
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Entity Type | Organization
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Legal Business Name | NORVISTA MEDICAL GROUP
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 16801 DEVONSHIRE ST # 101
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City | GRANADA HILLS
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State | CA
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Zip | 91344-7405
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Country | US
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Telephone | 747-786-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 7044 SEPULVEDA BLVD # 1001
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City | VAN NUYS
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State | CA
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Zip | 91405-2926
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Country | US
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Telephone | 747-786-4041
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANDEEP CHADHA
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Credential | MD
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Telephone | 747-786-4041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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