Tarzana Pediatric Medical Group Inc

LBN: Tarzana Pediatric Medical Group Inc
Tarzana Pediatric Medical Group Inc is an health care organization with primary practice located at 18370 Burbank Blvd Suite #204, Tarzana CA 91356-2851. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Tarzana Pediatric Medical Group Inc can be contacted via phone (818) 345-7792, or through Lavin, Norman via phone (818) 345-7792.

Contact Information

Primary practice address
18370 Burbank Blvd Suite #204 Tarzana CA 91356-2851
Phone: (818) 345-7792
Fax: (818) 345-9052
Website:
Map and Directions
Authorized official contact:
Name: Lavin, Norman Doctor of Medicine (MD)
Phone: (818) 345-7792

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X G16804 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G16804 California

Profile Details

NPI number 1033227970
LBN Legal business name Tarzana Pediatric Medical Group Inc
DBA Doing business as
Authorized official Lavin, Norman Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 12th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033227970 NPPES
California Other G16804 STATE LICENSE
California MEDICAID GR0002970 STATE LICENSE

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