My Familys Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MY FAMILYS MEDICAL GROUP INC

Practice address

16661 Ventura Blvd
Suite 405
Encino, CA 91436-1914

Phone

(818) 907-1208

Fax

(818) 907-1210

NPI assigned

Jan 2, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Chante Aguilera

Title

President

Phone

(818) 907-1208

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262390400000",
    "number": "1144550823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 405",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-907-1208",
            "fax_number": "818-907-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 405",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-907-1208",
            "fax_number": "818-907-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILYS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-02",
        "last_updated": "2010-01-02",
        "status": "A",
        "authorized_official_last_name": "AGUILERA",
        "authorized_official_first_name": "CHANTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-907-1208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.