| Eolb Medical Group Inc | |
|
16927 Vanowen St Ste 4 Lake Balboa CA 91406-4582 | |
| (818) 483-4717 | |
| Not Available |
| Full Name | Eolb Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 16927 Vanowen St Ste 4, Lake Balboa, California |
| Authorized Official Name and Position | Eugene Ostrovsky (PRESIDENT/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 8189605334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eolb Medical Group Inc 18180 Andrea Cir N Unit 5 Northridge CA 91325-1107 Ph: (818) 960-5334 | Eolb Medical Group Inc 16927 Vanowen St Ste 4 Lake Balboa CA 91406-4582 Ph: (818) 483-4717 |
| NPI Number | 1881165546 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 01/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881165546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Vanowen Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16927 Vanowen St Ste 4, Lake Balboa, CA 91406 Phone: 818-483-4717 Fax: 818-483-4718 |