| Edward Portnoy Md, Inc | |
|
1220 La Venta Rd 100 Westlake Village CA 91361-3703 | |
| (805) 497-9272 | |
| (805) 497-7082 |
| Full Name | Edward Portnoy Md, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1220 La Venta Rd, Westlake Village, California |
| Authorized Official Name and Position | Edward Barry Portnoy (PRESIDENT) |
| Authorized Official Contact | 8054979272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Portnoy Md, Inc 1220 La Venta Rd 100 Westlake Village CA 91361-3703 Ph: (805) 497-9272 | Edward Portnoy Md, Inc 1220 La Venta Rd 100 Westlake Village CA 91361-3703 Ph: (805) 497-9272 |
| NPI Number | 1871695601 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871695601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G30207 (California) | Primary |
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