| Courtyard Clinic Inc. | |
|
23693b Calabasas Rd Calabasas CA 91302-1502 | |
| (818) 403-3072 | |
| (818) 356-8804 |
| Full Name | Courtyard Clinic Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 23693b Calabasas Rd, Calabasas, California |
| Authorized Official Name and Position | Greta Goldshtein (PRESIDENT) |
| Authorized Official Contact | 8184033072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courtyard Clinic Inc. 23693b Calabasas Rd Calabasas CA 91302-1502 Ph: (818) 403-3072 | Courtyard Clinic Inc. 23693b Calabasas Rd Calabasas CA 91302-1502 Ph: (818) 403-3072 |
| NPI Number | 1558904755 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 1052740529 |
|---|---|
| Medicare Enrollment ID | O20200403001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558904755 | NPI | - | NPPES |
| Provider Name | Robert A Gold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164489456 PECOS PAC ID: 9739109042 Enrollment ID: I20051201000561 |
| Provider Name | Jolie Pfahler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629033782 PECOS PAC ID: 1658416920 Enrollment ID: I20100311000300 |
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