| Tarzana Medical Group | |
|
18607 Ventura Blvd Ste 302 Tarzana CA 91356-4158 | |
| (818) 745-7590 | |
| (818) 938-9193 |
| Full Name | Tarzana Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 18607 Ventura Blvd Ste 302, Tarzana, California |
| Authorized Official Name and Position | David James Kyle (PRESIDENT/CEO/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8187457590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Medical Group 18607 Ventura Blvd Ste 302 Tarzana CA 91356-4158 Ph: (818) 745-7590 | Tarzana Medical Group 18607 Ventura Blvd Ste 302 Tarzana CA 91356-4158 Ph: (818) 745-7590 |
| NPI Number | 1245714351 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245714351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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