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INDIANER LASK & ROSENZWEIG M.D.'S DERMATOLOGY GROUP A MEDICAL CORP NPI 1487690475


NPI Information

NPI: 1487690475
Provider Name: INDIANER, LASK & ROSENZWEIG, M.D.'S, DERMATOLOGY GROUP, A MEDICAL CORP
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0687880

Address:
16260 VENTURA BLVD STE 530
ENCINO, CA
ZIP 91436
Phone: (818) 788-4022
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INDIANER, LASK & ROSENZWEIG, M.D.'S, DERMATOLOGY GROUP, A MEDICAL CORP is a specialist in Encino, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INDIANER, LASK & ROSENZWEIG, M.D.'S, DERMATOLOGY GROUP, A MEDICAL CORP NPI is 1487690475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16260 VENTURA BLVD STE 530
ENCINO, CA
ZIP 91436-248
Phone: (818) 788-4022
Fax: (818) 788-3728

The provider's authorized official is Gary Lask .
The authorized official title is Owner and has the following contact phone number (818) 788-4022.

The CLIA number assigned to this NPI record is 05D0687880 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 9/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA35542CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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