| Lawrence Osman MD PC | |
|
18546 Roscoe Blvd Ste 306 Northridge CA 91324-4669 | |
| (818) 885-0455 | |
| Not Available |
| Full Name | Lawrence Osman MD PC |
|---|---|
| Speciality | Clinic/Center |
| Location | 18546 Roscoe Blvd Ste 306, Northridge, California |
| Authorized Official Name and Position | Kendra Hughes (OFFICE MANAGER) |
| Authorized Official Contact | 8188850455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Osman MD PC 18546 Roscoe Blvd Ste 306 Northridge CA 91324-4669 Ph: (818) 885-0455 | Lawrence Osman MD PC 18546 Roscoe Blvd Ste 306 Northridge CA 91324-4669 Ph: (818) 885-0455 |
| NPI Number | 1962978304 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/23/2018 |
| Medicare PECOS PAC ID | 9133465164 |
|---|---|
| Medicare Enrollment ID | O20190114000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962978304 | NPI | - | NPPES |
| 122000661 | Other | CA | ANTHEM BLUE CROSS OF CALIFORNIA |
| 2366060926 | Other | AARP | |
| 2366060926 | Other | CIGNA | |
| 2366060926 | Other | BLUE SHEILD | |
| 2366060926 | Other | ANTHEM | |
| 2366060926 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Lawrence a Osman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730177932 PECOS PAC ID: 0244207272 Enrollment ID: I20040910000477 |
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