OrganizationActive
101 Family Medical Group,a Professional Corp
NPI 1174856348 · Primary Care Clinic/Center · Canoga Park, CA
Provider details
- NPI number
- 1174856348
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Hessam Aazami, Medical Director
- License
- A85704 (CA)
Practice location
22030 Sherman Way Ste 101
Canoga Park, CA 91303-1844
Phone: (818) 312-9101
Fax: (818) 312-9100
Mailing address
7201 Rockridge Ter
West Hills, CA 91307-1265
Registry dates
- Enumerated
- 2009-09-06
- Last updated
- 2011-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.