| Marc I. Lavin M.d., A Professional Medical Corporation | |
|
7345 Medical Center Dr Ste 160 West Hills CA 91307-1952 | |
| (818) 676-4805 | |
| (818) 676-4820 |
| Full Name | Marc I. Lavin M.d., A Professional Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 7345 Medical Center Dr Ste 160, West Hills, California |
| Authorized Official Name and Position | Marc Irving Lavin (PRESIDENT) |
| Authorized Official Contact | 8186764805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc I. Lavin M.d., A Professional Medical Corporation 7345 Medical Center Dr Ste 160 West Hills CA 91307-1952 Ph: (818) 676-4805 | Marc I. Lavin M.d., A Professional Medical Corporation 7345 Medical Center Dr Ste 160 West Hills CA 91307-1952 Ph: (818) 676-4805 |
| NPI Number | 1356565725 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 12/31/2019 |
| Medicare PECOS PAC ID | 2365525227 |
|---|---|
| Medicare Enrollment ID | O20080215000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356565725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A54809 (California) | Primary |
| Provider Name | Marc I Lavin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326048638 PECOS PAC ID: 7810070778 Enrollment ID: I20080215000104 |
Gary H Nudell M D A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7345 Medical Center Dr Ste 160, West Hills, CA 91307 Phone: 818-676-4806 Fax: 818-676-4820 | |
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