Niti Vaid | |
32144 Agoura Rd Ste 118 Westlake Village CA 91361-4046 | |
(818) 707-0290 | |
(818) 707-0291 |
Full Name | Niti Vaid |
---|---|
Speciality | Internal Medicine |
Location | 32144 Agoura Rd Ste 118, Westlake Village, California |
Authorized Official Name and Position | Niti Vaid (PRESIDENT/OWNER) |
Authorized Official Contact | 8183054690 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Niti Vaid 4607 Lakeview Canyon Rd # 159 Westlake Village CA 91361-4028 Ph: (818) 305-4690 | Niti Vaid 32144 Agoura Rd Ste 118 Westlake Village CA 91361-4046 Ph: (818) 707-0290 |
NPI Number | 1396725552 |
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Provider Enumeration Date | 01/21/2006 |
Last Update Date | 10/29/2024 |
Medicare PECOS PAC ID | 8123039385 |
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Medicare Enrollment ID | O20060601000161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396725552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 20A8826 (California) | Primary |
Provider Name | Niti Vaid |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710934336 PECOS PAC ID: 2860403250 Enrollment ID: I20060523000192 |
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