| Gtl Medical Group Inc | |
|
14555 Hamlin St Ste 107 Van Nuys CA 91411-1617 | |
| (818) 616-4838 | |
| Not Available |
| Full Name | Gtl Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 14555 Hamlin St Ste 107, Van Nuys, California |
| Authorized Official Name and Position | Leslie Moss Kalman (PRESIDENT) |
| Authorized Official Contact | 8186164838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gtl Medical Group Inc 14555 Hamlin St Ste 107 Van Nuys CA 91411-1617 Ph: (818) 616-4838 | Gtl Medical Group Inc 14555 Hamlin St Ste 107 Van Nuys CA 91411-1617 Ph: (818) 616-4838 |
| NPI Number | 1376156109 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 10/14/2020 |
| Medicare PECOS PAC ID | 7719307909 |
|---|---|
| Medicare Enrollment ID | O20201008001080 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376156109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Leslie M Kalman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609165992 PECOS PAC ID: 5799027488 Enrollment ID: I20190429002642 |
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