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NPI Verification

National Provider Identifier: 1487140935

90265 Medical Group Inc.

Organization

Primary Specialty

Hospitalist

Code: 208M00000X

All Specialties (4)

Family Medicine, Addiction Medicine

Code: 207QA0401X

Internal Medicine

Code: 207R00000X

Psychiatry & Neurology, Psychiatry

Code: 2084P0800X

Hospitalist

Code: 208M00000X

Primary

Practice Address

23661 PACIFIC COAST HIGHWAY

MALIBU, CA 90265

Phone: 310-341-0188

NPI Enumeration Date

July 9, 2018

NPI Number

1487140935

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry