Ulf Lando Md Inc | |
16133 Ventura Blvd # 350 Encino CA 91436 | |
(818) 986-1446 | |
(818) 789-5846 |
Full Name | Ulf Lando Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 16133 Ventura Blvd, Encino, California |
Authorized Official Name and Position | Ulf Lando (OWNER) |
Authorized Official Contact | 8189861446 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ulf Lando Md Inc 16133 Ventura Blvd # 350 Encino CA 91436 Ph: (818) 986-1446 | Ulf Lando Md Inc 16133 Ventura Blvd # 350 Encino CA 91436 Ph: (818) 986-1446 |
NPI Number | 1174726715 |
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Provider Enumeration Date | 06/11/2007 |
Last Update Date | 12/08/2009 |
Medicare PECOS PAC ID | 4284721374 |
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Medicare Enrollment ID | O20071106000866 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174726715 | NPI | - | NPPES |
00A355580 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A35558 (California) | Primary |
Provider Name | Ulf Lando |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487769063 PECOS PAC ID: 0749377836 Enrollment ID: I20071106000864 |
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