| Tarzana Valley Vita Medical Center | |
|
18607 Ventura Blvd., Suite 206 Tarzana CA 91356-4144 | |
| (818) 758-8282 | |
| (818) 758-8286 |
| Full Name | Tarzana Valley Vita Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 18607 Ventura Blvd.,, Tarzana, California |
| Authorized Official Name and Position | Yuzef Gurovich (OWNER/CEO) |
| Authorized Official Contact | 8059100333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tarzana Valley Vita Medical Center 18607 Ventura Blvd., Suite 206 Tarzana CA 91356-4144 Ph: (818) 758-8282 | Tarzana Valley Vita Medical Center 18607 Ventura Blvd., Suite 206 Tarzana CA 91356-4144 Ph: (818) 758-8282 |
| NPI Number | 1003857434 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 04/29/2014 |
| Medicare PECOS PAC ID | 1658285911 |
|---|---|
| Medicare Enrollment ID | O20031119000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003857434 | NPI | - | NPPES |
| GR0090900 | Medicaid | CA | |
| ZZZ02527Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Zinovy N Lekht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427093236 PECOS PAC ID: 1052218997 Enrollment ID: I20031217001011 |
| Provider Name | Khanh Ngoc Tuan Duong |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295754125 PECOS PAC ID: 8527959436 Enrollment ID: I20040322000912 |
| Provider Name | Arkady Stern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033198882 PECOS PAC ID: 6507961513 Enrollment ID: I20070419000742 |
| Provider Name | Dmitriy Romanenko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881894715 PECOS PAC ID: 6406925114 Enrollment ID: I20080521000517 |
| Provider Name | Sedi Hadadian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326295452 PECOS PAC ID: 6103966460 Enrollment ID: I20091217000018 |
Neil D. Fagen,m.d.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St, 204, Tarzana, CA 91356 Phone: 818-996-4796 Fax: 818-996-4793 | |
Terry E Stanger Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18411 Clark St Ste 202, Tarzana, CA 91356 Phone: 818-881-3435 Fax: 818-881-9021 | |
Tarzana Pediatric Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite #204, Tarzana, CA 91356 Phone: 818-345-7792 Fax: 818-345-9052 | |
Joel A. Sach, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356 Phone: 818-708-6070 Fax: 818-708-6095 | |
Comprehensive Infectious Disease Consultants A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, Ste 414, Tarzana, CA 91356 Phone: 818-506-3384 Fax: 818-699-1278 | |
Tarzana Treatment Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3815 |