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General NPI Number Information
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NPI Number | 1750102745
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Entity Type | Organization
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Legal Business Name | COMMUNAL HEALTH MEDICAL GROUP PC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 20201 SHERMAN WAY STE 109
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City | WINNETKA
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State | CA
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Zip | 91306-3269
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Country | US
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Telephone | 818-960-4000
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Fax | 818-922-7019
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Provider Business Mailing Address
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Address Line | 20201 SHERMAN WAY STE 109
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City | WINNETKA
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State | CA
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Zip | 91306-3269
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Country | US
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Telephone | 818-782-3255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FARSHAD MALEKMEHR
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Credential | MD
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Telephone | 818-782-3255
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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