| California Health And Longevity Institute, Inc | |
|
2 Dole Dr Westlake Village CA 91362-7300 | |
| (818) 575-8000 | |
| Not Available |
| Full Name | California Health And Longevity Institute, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Dole Dr, Westlake Village, California |
| Authorized Official Name and Position | Terry M Schaack (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8185758000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Health And Longevity Institute, Inc 9675 Brighton Way Suite 290 Beverly Hills CA 90210-5100 Ph: (310) 550-8543 | California Health And Longevity Institute, Inc 2 Dole Dr Westlake Village CA 91362-7300 Ph: (818) 575-8000 |
| NPI Number | 1699899179 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890131148 |
|---|---|
| Medicare Enrollment ID | O20240309000248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699899179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A43132 (California) | Primary |
| Provider Name | Terry M Schaack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780728980 PECOS PAC ID: 6103985395 Enrollment ID: I20081103000380 |
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