Joseph M. Lavi, M.d., A Medical Corporation | |
27420 Tourney Rd Suite 200 Valencia CA 91355-5601 | |
(661) 254-9950 | |
(661) 254-9956 |
Full Name | Joseph M. Lavi, M.d., A Medical Corporation |
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Speciality | Internal Medicine |
Location | 27420 Tourney Rd, Valencia, California |
Authorized Official Name and Position | Joseph M Lavi (CEO) |
Authorized Official Contact | 6612549950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joseph M. Lavi, M.d., A Medical Corporation 27420 Tourney Rd Suite 200 Valencia CA 91355-5601 Ph: (661) 254-9950 | Joseph M. Lavi, M.d., A Medical Corporation 27420 Tourney Rd Suite 200 Valencia CA 91355-5601 Ph: (661) 254-9950 |
NPI Number | 1164607537 |
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Provider Enumeration Date | 01/04/2008 |
Last Update Date | 09/27/2018 |
Medicare PECOS PAC ID | 6800805037 |
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Medicare Enrollment ID | O20060414000152 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164607537 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A72904 (California) | Primary |
Provider Name | Joseph M Lavi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912082017 PECOS PAC ID: 2860443082 Enrollment ID: I20050204000578 |
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