| The Columbia Center For Integrative Medicine | |
|
21900 Burbank Blvd 300 Woodland Hills CA 91367-6469 | |
| (888) 250-2246 | |
| (844) 233-7639 |
| Full Name | The Columbia Center For Integrative Medicine |
|---|---|
| Speciality | General Practice |
| Location | 21900 Burbank Blvd, Woodland Hills, California |
| Authorized Official Name and Position | Dushyant Viswanathan (C E O) |
| Authorized Official Contact | 8882502246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Columbia Center For Integrative Medicine 21900 Burbank Blvd 300 Woodland Hills CA 91367-6469 Ph: (888) 250-2246 | The Columbia Center For Integrative Medicine 21900 Burbank Blvd 300 Woodland Hills CA 91367-6469 Ph: (888) 250-2246 |
| NPI Number | 1205217643 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 12/09/2019 |
| Medicare PECOS PAC ID | 4981038726 |
|---|---|
| Medicare Enrollment ID | O20200102001480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205217643 | NPI | - | NPPES |
| 1205217643 | Other | CA | CA-NPI |
| 1205217643 | Other | MD | MD-NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 140801 (California) | Primary |
| Provider Name | Dushyant Arun Viswanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285897421 PECOS PAC ID: 8628255692 Enrollment ID: I20110601000244 |
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