Cyrus Lavian Md Inc | |
15310 Roscoe Blvd Panorama City CA 91402-4303 | |
(818) 830-9999 | |
Not Available |
Full Name | Cyrus Lavian Md Inc |
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Speciality | Internal Medicine |
Location | 15310 Roscoe Blvd, Panorama City, California |
Authorized Official Name and Position | Cyrus Lavian (PRESIDENT/OWNER) |
Authorized Official Contact | 8188309999 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cyrus Lavian Md Inc 16020 Valley Wood Rd Sherman Oaks CA 91403-4737 Ph: (818) 830-9999 | Cyrus Lavian Md Inc 15310 Roscoe Blvd Panorama City CA 91402-4303 Ph: (818) 830-9999 |
NPI Number | 1245652940 |
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Provider Enumeration Date | 01/15/2014 |
Last Update Date | 02/17/2014 |
Medicare PECOS PAC ID | 2163675158 |
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Medicare Enrollment ID | O20121221000355 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245652940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Cyrus R Lavian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548283526 PECOS PAC ID: 1557389228 Enrollment ID: I20051110000862 |
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