MGB MEDICAL GROUP, INC.
NPI 1720554041
Family Medicine - Adult Medicine in N Hollywood, CA

Active since October 15, 2018
7535 LAUREL CANYON BLVD, N HOLLYWOOD, CA 91605(818) 962-5505 Get Directions Write a Review

NPPES record last updated: January 25, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 25, 2019, Oct 15, 2018 (2 updates tracked since 2018).

About Mgb Medical Group, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MGB MEDICAL GROUP, INC. (NPI 1720554041) is a healthcare organization registered as an adult medicine in N Hollywood, California and active in the NPI registry since October 2018. The organization lists Michael Repik, President, as its authorized official.

NPPES Registry Identity

NPI1720554041
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMGB MEDICAL GROUP, INC.
Location Address7535 LAUREL CANYON BLVDN Hollywood, CA 91605-3149
Mailing Address7535 Laurel Canyon BlvdN Hollywood, CA 91605-3149 · (818) 962-5505
Organization SubpartNo
Authorized OfficialMichael RepikPresident · (818) 962-5505
Enumeration DateOctober 15, 2018
Last NPPES UpdateJanuary 25, 20192 updates tracked since enumeration
NPI 1720554041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
7535 LAUREL CANYON BLVD, N Hollywood, CA 91605

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Multi-Specialty)
7535 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA 91605
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7535 LAUREL CANYON BLVD
N. HOLLYWOOD, CA 91605
Family Medicine
7535 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA 91605
Family Medicine (Geriatric Medicine)
7535 LAUREL CANYON BLVD
N HOLLYWOOD, CA 91605
General Practice
7535 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA 91605
Podiatrist
7535 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA 91605
Family Medicine (Adult Medicine)
7535 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA 91605
Physician Assistant
7535 LAUREL CANYON BLVD
NORTH HOLLYWOOD, CA 91605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mgb Medical Group, Inc.'s NPI number?

The NPI number for Mgb Medical Group, Inc. is 1720554041. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Mgb Medical Group, Inc. located?

Mgb Medical Group, Inc. is located at 7535 Laurel Canyon Blvd, N Hollywood, CA 91605. The listed phone number is (818) 962-5505.

What is Mgb Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Mgb Medical Group, Inc. was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.