| Steven Novom M.d. Inc. | |
|
17525 Ventura Blvd Suite 203 Encino CA 91316-5109 | |
| (818) 986-0200 | |
| (818) 986-4393 |
| Full Name | Steven Novom M.d. Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 17525 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Steven Novom (PRESIDENT AND PROVIDER) |
| Authorized Official Contact | 8185179955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Novom M.d. Inc. 17525 Ventura Blvd Suite 203 Encino CA 91316-5109 Ph: (818) 986-0200 | Steven Novom M.d. Inc. 17525 Ventura Blvd Suite 203 Encino CA 91316-5109 Ph: (818) 986-0200 |
| NPI Number | 1982906798 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 11/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982906798 | NPI | - | NPPES |
| 00G224830 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | G22483 (California) | Primary |
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