| NPI | 1861100976 |
|---|---|
| Doing Business As | SILVERLAKE MEDICAL GROUP |
| Doing Business As | TIMBER LAKE CONSULTING, LLC |
| Entity Type | Organization |
| Authorized Contact | PHILIP TALLEY Owner 323-524-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |