| Tarzana Endocrine & Medical Group | |
|
18370 Burbank Blvd Ste 601 Tarzana CA 91356-2831 | |
| (818) 996-5700 | |
| (818) 996-1649 |
| Full Name | Tarzana Endocrine & Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 18370 Burbank Blvd, Tarzana, California |
| Authorized Official Name and Position | Gary Tanouye (PRESIDENT) |
| Authorized Official Contact | 8189965700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Endocrine & Medical Group 18370 Burbank Blvd Ste 601 Tarzana CA 91356-2831 Ph: (818) 996-5700 | Tarzana Endocrine & Medical Group 18370 Burbank Blvd Ste 601 Tarzana CA 91356-2831 Ph: (818) 996-5700 |
| NPI Number | 1205831583 |
|---|---|
| Provider Enumeration Date | 06/14/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205831583 | NPI | - | NPPES |
| 19-139 | Other | CA | DHS MEDICAL WASTE REG # |
| FAC00002669 | Other | CA | RADIATION MACHINE DEPT OF PUBLIC HEALTH, CALIF. |
| T0796 | Other | CA | RAILROAD GROUP NUMBER |
| 05D0559244 | Other | CA | CLIA LICENSE STE 300 |
| 19359 | Other | CA | FICTITIOUS NAME PERMIT |
| 110061982 | Other | CA | RAILROAD GROUP RENDERING |
| YYY40048Y | Other | CA | BLUE SHIELD OF CALIFORNIA |
| CAL000056694 | Other | CA | RADIOLOGIC LICENSE |
| CLF298 | Other | CA | STATE LABORATORY LICENSE |
| CPP 315971 | Other | CA | STATE LABORATORY LICENSE SUITE 601 |
| YYY40048Y | Medicaid | CA | |
| 05D0889138 | Other | CA | CLIA LICENSE STE 601 |
Tarzana Valley Vita Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18607 Ventura Blvd.,, Suite 206, Tarzana, CA 91356 Phone: 818-758-8282 Fax: 818-758-8286 | |
Neil D. Fagen,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St, 204, Tarzana, CA 91356 Phone: 818-996-4796 Fax: 818-996-4793 | |
Terry E Stanger Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St Ste 202, Tarzana, CA 91356 Phone: 818-881-3435 Fax: 818-881-9021 | |
Tarzana Pediatric Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite #204, Tarzana, CA 91356 Phone: 818-345-7792 Fax: 818-345-9052 | |
Joel A. Sach, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356 Phone: 818-708-6070 Fax: 818-708-6095 | |
Comprehensive Infectious Disease Consultants A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Ste 414, Tarzana, CA 91356 Phone: 818-506-3384 Fax: 818-699-1278 | |
Tarzana Treatment Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3815 |