J Ezra Md, Inc. | |
19379 Lemmer Dr Tarzana CA 91356-5532 | |
(818) 881-8484 | |
(818) 881-8484 |
Full Name | J Ezra Md, Inc. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 19379 Lemmer Dr, Tarzana, California |
Authorized Official Name and Position | Joseph Ezra (PRESIDENT) |
Authorized Official Contact | 8188818484 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
J Ezra Md, Inc. 19379 Lemmer Dr Tarzana CA 91356-5532 Ph: (818) 881-8484 | J Ezra Md, Inc. 19379 Lemmer Dr Tarzana CA 91356-5532 Ph: (818) 881-8484 |
NPI Number | 1528259041 |
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Provider Enumeration Date | 08/08/2007 |
Last Update Date | 08/08/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528259041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A31354 (California) | Primary |
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