| David Lavian M.d. Inc. | |
|
14600 Sherman Way Suite 215 Van Nuys CA 91405-2283 | |
| (818) 782-4300 | |
| (818) 782-6411 |
| Full Name | David Lavian M.d. Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 14600 Sherman Way, Van Nuys, California |
| Authorized Official Name and Position | David Lavian (PRESIDENT) |
| Authorized Official Contact | 8187824300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Lavian M.d. Inc. Po Box 571286 Tarzana CA 91357-1286 Ph: (818) 782-4300 | David Lavian M.d. Inc. 14600 Sherman Way Suite 215 Van Nuys CA 91405-2283 Ph: (818) 782-4300 |
| NPI Number | 1285931105 |
|---|---|
| Provider Enumeration Date | 02/13/2011 |
| Last Update Date | 02/13/2011 |
| Medicare PECOS PAC ID | 4183808025 |
|---|---|
| Medicare Enrollment ID | O20110418000522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285931105 | NPI | - | NPPES |
| 00A463700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A46370 (California) | Primary |
| Provider Name | David Lavian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770582967 PECOS PAC ID: 6204010150 Enrollment ID: I20110418000616 |
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