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SNL MEDICAL CENTER A MEDICAL CORPORATION NPI 1730819079


NPI Information

NPI: 1730819079
Provider Name: SNL MEDICAL CENTER A MEDICAL CORPORATION
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 05D2293435

Address:
7400 VAN NUYS BLVD STE 111
VAN NUYS, CA
ZIP 91405
Phone: (818) 616-4484
Get Directions

SNL MEDICAL CENTER A MEDICAL CORPORATION is a geriatric medicine family medicine in Van Nuys, CA. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SNL MEDICAL CENTER A MEDICAL CORPORATION NPI is 1730819079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7400 VAN NUYS BLVD STE 111
VAN NUYS, CA
ZIP 91405-972
Phone: (818) 616-4484
Fax: (818) 616-4494

The provider's authorized official is Michael K Jefferson .
The authorized official title is Owner /ceo and has the following contact phone number (818) 616-4484.

The CLIA number assigned to this NPI record is 05D2293435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2022 and was last updated on 6/10/2022.


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
1207QG0300XFamily MedicineGeriatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G68903OTHERCALIFORNIAMEDICAL BOARD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.