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NPI 1356843221 · Public Health & General Preventive Medicine Physician · Reseda, CA
Provider details
- NPI number
- 1356843221
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adrian Von Huggen, Office Manager(323) 522-4402
- License
- A0004884 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
19231 Victory Blvd Ste 452
Reseda, CA 91335-6361
Phone: (323) 522-4402
Approximate (ZIP-level) locationGet directions
Mailing address
3501 Jack Northrop Ave Ste 11729
Hawthorne, CA 90250-4433
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2019-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.