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

Champion Medical Group, a Medical Corporation

Organization Non-Pharmacy Dispensing Site · NPI 1417248840

Champion Medical Group, a Medical Corporation is a Non-Pharmacy Dispensing Site in Panorama City, California. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

8121 Van Nuys Blvd Ste 316
Panorama City, CA 91402-5105
Phone: (818) 994-1102
Show map & directions

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

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1417248840
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChampion Medical Group, a Medical Corporation
Authorized official Herbert Marshak — Medical Director · (310) 474-9809
NPI enumeratedApril 19, 2011
Last updated in NPPESOctober 5, 2015
Mailing address2980 N Beverly Glen Cir, Suite 100, Los Angeles, CA 90077-1726