Neuro Care Of Tarzana Medical Clinic, Inc | |
18344 Clark St Suite # 208 Tarzana CA 91356-3505 | |
(818) 342-1515 | |
(818) 342-0500 |
Full Name | Neuro Care Of Tarzana Medical Clinic, Inc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 18344 Clark St Suite # 208, Tarzana, California |
Authorized Official Name and Position | Deepak Kumar Chugh (PRESIDENT AND CEO) |
Authorized Official Contact | 8183421515 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Neuro Care Of Tarzana Medical Clinic, Inc 18344 Clark Street Suite # 208 Tarzana CA 91356-3505 Ph: (818) 342-1515 | Neuro Care Of Tarzana Medical Clinic, Inc 18344 Clark St Suite # 208 Tarzana CA 91356-3505 Ph: (818) 342-1515 |
NPI Number | 1801953955 |
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Provider Enumeration Date | 01/01/2007 |
Last Update Date | 08/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801953955 | NPI | - | NPPES |
00A785160 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | A78516 (California) | Primary |
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