VALLEY VITA MEDICAL CENTER INC NPI 1003857434

NPI Information

  • NPI: 1003857434
  • Provider Name: VALLEY VITA MEDICAL CENTER, INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: TARZANA VALLEY VITA MEDICAL CENTER
  • CLIA Number: 05D2068487
  • Address: 18607 VENTURA BLVD.,
    SUITE 206
    TARZANA, CA
    ZIP 91356
  • Phone: (818) 758-8282

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NPI Details

VALLEY VITA MEDICAL CENTER, INC is a family medicine in Tarzana, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VALLEY VITA MEDICAL CENTER, INC NPI is 1003857434. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tarzana Valley Vita Medical Center.

The provider's business location address is:

18607 VENTURA BLVD.,
SUITE 206
TARZANA, CA
ZIP 91356-144
Phone: (818) 758-8282
Fax: (818) 758-8286

The provider's authorized official is Yuzef Gurovich .
The authorized official title is Owner/ceo and has the following contact phone number (805) 910-0333.

The CLIA number assigned to this NPI record is 05D2068487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 4/29/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W15251MEDICARE UPINCALIFORNIA
2ZZZ02527ZOTHERCALIFORNIABLUE SHIELD
3GR0090900MEDICAIDCALIFORNIA
4W15251MEDICARE PINCALIFORNIA

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: 3/30/2025

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