Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Medical Center Corporation

Organization Adult Medicine Physician · NPI 1164679718

Canyon Medical Center Corporation is an Adult Medicine Physician in Calabasas, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

4937 Las Virgenes Rd Ste 104
Calabasas, CA 91302-2949
Phone: (818) 880-0799
Fax: (818) 880-6689
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 43384A (CA)

Record details

NPI number1164679718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Vesco — Owner · (818) 880-0799
NPI enumeratedAugust 26, 2008
Last updated in NPPESNovember 14, 2014
Mailing address4937 Las Virgenes Rd, Suite 104, Calabasas, CA 91302-2949

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