| Allan Kurtz Professional Medical Corp | |
|
6325 Topanga Canyon Blvd 501 Woodland Hills CA 91367-2052 | |
| (818) 346-1440 | |
| (818) 346-9356 |
| Full Name | Allan Kurtz Professional Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 6325 Topanga Canyon Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Allen Lee Kurtz (PHYSICIAN) |
| Authorized Official Contact | 8183461440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allan Kurtz Professional Medical Corp 6325 Topanga Canyon Blvd 501 Woodland Hills CA 91367-2052 Ph: (818) 346-1440 | Allan Kurtz Professional Medical Corp 6325 Topanga Canyon Blvd 501 Woodland Hills CA 91367-2052 Ph: (818) 346-1440 |
| NPI Number | 1831462860 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 02/29/2012 |
| Medicare PECOS PAC ID | 8123288990 |
|---|---|
| Medicare Enrollment ID | O20120402000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831462860 | NPI | - | NPPES |
| 20A4625 | Other | CA | MEDICARE |
| 33080508 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A4625 (California) | Primary |
| Provider Name | Allan Lee Kurtz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679656946 PECOS PAC ID: 9032379805 Enrollment ID: I20120402000455 |
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