| Alex A Lazar Md Inc | |
|
16055 Ventura Blvd Ste 601 Encino CA 91436-2618 | |
| (818) 783-9922 | |
| (818) 783-9920 |
| Full Name | Alex A Lazar Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16055 Ventura Blvd Ste 601, Encino, California |
| Authorized Official Name and Position | Alex Lazar (CEO) |
| Authorized Official Contact | 8187839922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex A Lazar Md Inc 16055 Ventura Blvd Ste 601 Encino CA 91436-2618 Ph: (818) 783-9922 | Alex A Lazar Md Inc 16055 Ventura Blvd Ste 601 Encino CA 91436-2618 Ph: (818) 783-9922 |
| NPI Number | 1831695394 |
|---|---|
| Provider Enumeration Date | 04/03/2018 |
| Last Update Date | 07/28/2021 |
| Certification Date | 07/28/2021 |
| Medicare PECOS PAC ID | 7012262611 |
|---|---|
| Medicare Enrollment ID | O20180622001727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831695394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Alex A Lazar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154377315 PECOS PAC ID: 1052377645 Enrollment ID: I20041206000605 |
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