| San Fernando Valley Neurologic Medical Group Inc | |
|
18370 Burbank Blvd #107 Tarzana CA 91356 | |
| (818) 996-3880 | |
| (818) 996-1679 |
| Full Name | San Fernando Valley Neurologic Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 18370 Burbank Blvd, Tarzana, California |
| Authorized Official Name and Position | Michael A Wienir (PRESIDENT) |
| Authorized Official Contact | 8189963880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Fernando Valley Neurologic Medical Group Inc 18370 Burbank Blvd #107 Tarzana CA 91356 Ph: (818) 996-3880 | San Fernando Valley Neurologic Medical Group Inc 18370 Burbank Blvd #107 Tarzana CA 91356 Ph: (818) 996-3880 |
| NPI Number | 1083789390 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 04/20/2009 |
| Medicare PECOS PAC ID | 1153304506 |
|---|---|
| Medicare Enrollment ID | O20040608001043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083789390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | George Chow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932122413 PECOS PAC ID: 1355231317 Enrollment ID: I20040316000409 |
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