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LANARK FAMILY MEDICAL CLINIC NPI 1124106646


NPI Information

NPI: 1124106646
Provider Name: LANARK FAMILY MEDICAL CLINIC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0988556

Address:
8040 VAN NUYS BLVD
PANORAMA CITY, CA
ZIP 91402
Phone: (818) 373-4870
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LANARK FAMILY MEDICAL CLINIC is a general practice in Panorama City, CA. LANARK FAMILY MEDICAL CLINIC NPI is 1124106646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8040 VAN NUYS BLVD
PANORAMA CITY, CA
ZIP 91402-010
Phone: (818) 373-4870
Fax: (818) 997-9442

The provider's authorized official is Anitha Reddy Kankar .
The authorized official title is President and has the following contact phone number (818) 373-4870.

The CLIA number assigned to this NPI record is 05D0988556 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 9/30/2009.


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
1208000000XPediatricsCALIFORNIANo
2208D00000XGeneral PracticeCALIFORNIAYes

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
1GR0092260MEDICAIDCALIFORNIA

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: 11/14/2023

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.