Tarzana Pediatric Medical Group Inc
Pediatrics
Tarzana Pediatric Medical Group Inc is a Tarzana, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
18370 Burbank Blvd, Suite #204, Tarzana, California - 91356-2851. They can be contacted on phone at
818-345-7792 and fax number 818-345-9052.
NPI number (Unique professional ID) for Tarzana Pediatric Medical Group Inc is
1033227970 which was assigned by NPPES on 29 Aug, 2006 and it was last updated on 12 Aug, 2014.
Tarzana Pediatric Medical Group Inc license number is
G16804 for Pediatrics (208000000X) in California.
Tarzana Pediatric Medical Group Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tarzana Pediatric Medical Group Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Tarzana Pediatric Medical Group Inc |
|---|
Business Address:
Tarzana Pediatric Medical Group Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 18370 Burbank Blvd, Suite #204
Tarzana, CA, 91356-2851
United States |
|---|
| Phone Number : | 818-345-7792 |
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| Fax Number : | 818-345-9052 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033227970 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Aug, 2006 |
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| Last Updated On : | 12 Aug, 2014 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Norman Lavin |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 818-345-7792 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tarzana Pediatric Medical Group Inc are as mentioned. Primary taxonomy code for Tarzana Pediatric Medical Group Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207RE0101X | Internal Medicine Endocrinology, Diabetes & Metabolism | No | G16804 | CA |
| 208000000X | Pediatrics | Yes | G16804 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Tarzana Pediatric Medical Group Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| G16804 | Other | CA | STATE LICENSE |
| GR0002970 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 18370 Burbank Blvd, Suite #204
Tarzana, CA, 91356-2851
United States |
|---|
| Phone Number : | 818-345-7792 |
|---|
| Fax Number : | 818-345-9052 |
|---|
Business Location:
Patients can refer following map for directions to
Tarzana Pediatric Medical Group Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.