| Gary H Nudell M D A Professional Corporation | |
|
7345 Medical Center Dr Ste 160 West Hills CA 91307-1952 | |
| (818) 676-4806 | |
| (818) 676-4820 |
| Full Name | Gary H Nudell M D A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 7345 Medical Center Dr Ste 160, West Hills, California |
| Authorized Official Name and Position | Gary Howard Nudell (PRESIDENT/OWNER) |
| Authorized Official Contact | 8186764806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary H Nudell M D A Professional Corporation 7345 Medical Center Dr Ste 160 West Hills CA 91307-1952 Ph: (818) 676-4806 | Gary H Nudell M D A Professional Corporation 7345 Medical Center Dr Ste 160 West Hills CA 91307-1952 Ph: (818) 676-4806 |
| NPI Number | 1043567662 |
|---|---|
| Provider Enumeration Date | 08/14/2012 |
| Last Update Date | 11/08/2023 |
| Medicare PECOS PAC ID | 0042463077 |
|---|---|
| Medicare Enrollment ID | O20121226000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043567662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A64512 (California) | Primary |
| Provider Name | Gary H Nudell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881617736 PECOS PAC ID: 5597795070 Enrollment ID: I20050815000568 |
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Marc I. Lavin M.d., A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7345 Medical Center Dr Ste 160, West Hills, CA 91307 Phone: 818-676-4805 Fax: 818-676-4820 | |
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