| Calvin Ezrin Md, A Medical Corporation | |
|
18372 Clark Street Suite 226 Tarzana CA 91356-3508 | |
| (818) 996-3936 | |
| (818) 996-3655 |
| Full Name | Calvin Ezrin Md, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 18372 Clark Street, Tarzana, California |
| Authorized Official Name and Position | Calvin Ezrin (PRESIDENT) |
| Authorized Official Contact | 8189963936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Ezrin Md, A Medical Corporation 18372 Clark Street Suite 226 Tarzana CA 91356-3508 Ph: (818) 996-3936 | Calvin Ezrin Md, A Medical Corporation 18372 Clark Street Suite 226 Tarzana CA 91356-3508 Ph: (818) 996-3936 |
| NPI Number | 1144400524 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 11/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144400524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | G33066 (California) | Primary |
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