OrganizationActive
Care Level Management Medical Group of Pennsylvania PC
NPI 1306950704 · General Practice Physician · Media, PA
Provider details
- NPI number
- 1306950704
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Johnson, Sr Staffing Coordinator(818) 595-8180
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1400 N Providence Rd
Suite 1025
Media, PA 19063-2043
Phone: (610) 892-8991
Fax: (610) 892-8966
Approximate (ZIP-level) locationGet directions
Mailing address
5700 Canoga Ave
Woodland Hills, CA 91367-6582
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.