| Michael R. Lewis, Md | |
|
20315 Ventura Blvd Suite A Woodland Hills CA 91364-2449 | |
| (818) 658-3830 | |
| (888) 837-4246 |
| Full Name | Michael R. Lewis, Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 20315 Ventura Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Michael Robin Lewis (CEO/ PHYSICIAN/OWNER) |
| Authorized Official Contact | 8186583830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R. Lewis, Md 20315 Ventura Blvd Suite A Woodland Hills CA 91364-2449 Ph: (818) 658-3830 | Michael R. Lewis, Md 20315 Ventura Blvd Suite A Woodland Hills CA 91364-2449 Ph: (818) 658-3830 |
| NPI Number | 1528429636 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528429636 | NPI | - | NPPES |
| 1093934036 | Other | CA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A103852 (California) | Primary |
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