| Lana Goldshmit, Inc | |
|
16530 Ventura Blvd Ste 400 Encino CA 91436-4551 | |
| (747) 999-0193 | |
| Not Available |
| Full Name | Lana Goldshmit, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 16530 Ventura Blvd Ste 400, Encino, California |
| Authorized Official Name and Position | Lana Goldshmit (MANAGER) |
| Authorized Official Contact | 7479990193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Goldshmit, Inc Po Box 18092 Encino CA 91416-8092 Ph: (747) 999-0109 | Lana Goldshmit, Inc 16530 Ventura Blvd Ste 400 Encino CA 91436-4551 Ph: (747) 999-0193 |
| NPI Number | 1831833227 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 0345604807 |
|---|---|
| Medicare Enrollment ID | O20230915003421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831833227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lana Goldshmit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861665176 PECOS PAC ID: 7113318759 Enrollment ID: I20211215002009 |
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