Tarzana Garden Ob Gyn

NPI 1073615233 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1073615233
Enumeration Date 09/01/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SID SID
Position PRESIDENT
Phone (818) 345-6600
Fax (818) 705-0035
Practice Location
18411 CLARK ST
301
TARZANA CA, 91356, US
Phone (818) 345-6600
Fax (818) 705-0035
Business Location
18411 CLARK ST
301
TARZANA CA, 91356, US
Phone (818) 345-6600
Fax (818) 705-0035
Toxanomy
Taxonomy Code 207V00000X
License State California
License Number A34548
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According to our database, Tarzana Garden Ob Gyn NPI is 1073615233, taxonomy code is 207V00000X and license number is A34548, license state is located at California. Tarzana Garden Ob Gyn physically located at 18411 Clark St, Tarzana CA, 91356. NPI Number 1033115704 has the healthcare provider type.

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1073615233 NPI number is provided on an as is basis without warranty of any kind. 1073615233 is maintained by the National Plan & Provider Enumeration System. The contents of Tarzana Garden Ob Gyn are for informational purposes only.