| Organization Name: | U.S. HEALTHWORKS MEDICAL GROUP, PC |
| NPI Number: | 1003286154 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH T MALLAS (PRESIDENT & CHIEF OPERATING OFFICER) |
| Mailing Address: | 16300 Roscoe Blvd Suite 1-a Van Nuys |
| State: | CA US |
| Postal Code: | 914061258 |
| Phone Number: | 8188934426 |
| Fax Number: | |
| NPI Enumeration Date: | 10/01/2015 |
| NPI Last Update Date: | 10/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |