Lawrence Osman Md Pc | |
18546 Roscoe Blvd Ste 306 Northridge CA 91324-4669 | |
(818) 885-0455 | |
Not Available |
Full Name | Lawrence Osman Md Pc |
---|---|
Speciality | Clinic/Center |
Location | 18546 Roscoe Blvd Ste 306, Northridge, California |
Authorized Official Name and Position | Kendra Hughes (OFFICE MANAGER) |
Authorized Official Contact | 8188850455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lawrence Osman Md Pc 18546 Roscoe Blvd Ste 306 Northridge CA 91324-4669 Ph: (818) 885-0455 | Lawrence Osman Md Pc 18546 Roscoe Blvd Ste 306 Northridge CA 91324-4669 Ph: (818) 885-0455 |
NPI Number | 1962978304 |
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Provider Enumeration Date | 10/23/2018 |
Last Update Date | 10/23/2018 |
Medicare PECOS PAC ID | 9133465164 |
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Medicare Enrollment ID | O20190114000519 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962978304 | NPI | - | NPPES |
122000661 | Other | CA | ANTHEM BLUE CROSS OF CALIFORNIA |
2366060926 | Other | AARP | |
2366060926 | Other | CIGNA | |
2366060926 | Other | BLUE SHEILD | |
2366060926 | Other | ANTHEM | |
2366060926 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Lawrence A Osman |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1730177932 PECOS PAC ID: 0244207272 Enrollment ID: I20040910000477 |
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