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TARZANA ENDOCRINE & MEDICAL GROUP NPI 1205831583


NPI Information

NPI: 1205831583
Provider Name: TARZANA ENDOCRINE & MEDICAL GROUP
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
18370 BURBANK BLVD
STE 601
TARZANA, CA
ZIP 91356
Phone: (818) 996-5700
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TARZANA ENDOCRINE & MEDICAL GROUP is an internal medicine in Tarzana, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. TARZANA ENDOCRINE & MEDICAL GROUP NPI is 1205831583. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18370 BURBANK BLVD
STE 601
TARZANA, CA
ZIP 91356-831
Phone: (818) 996-5700
Fax: (818) 996-1649

The provider's authorized official is Gary Tanouye .
The authorized official title is President and has the following contact phone number (818) 996-5700.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 8/17/2018.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism=========CALIFORNIANo
2291U00000XClinical Medical LaboratoryCLF298CALIFORNIANo
3207R00000XInternal Medicine=========CALIFORNIAYes

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
1FAC00002669OTHERCALIFORNIARADIATION MACHINE DEPT OF PUBLIC HEALTH, CALIF.
219-139OTHERCALIFORNIADHS MEDICAL WASTE REG #
3CLF298OTHERCALIFORNIASTATE LABORATORY LICENSE
4CPP 315971OTHERCALIFORNIASTATE LABORATORY LICENSE SUITE 601
5T0796OTHERCALIFORNIARAILROAD GROUP NUMBER
6=========OTHERCALIFORNIABLUE CROSS OF CALIFORNIA
7YYY40048YMEDICAIDCALIFORNIA
8YYY40048YOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
905D0559244OTHERCALIFORNIACLIA LICENSE STE 300
1005D0889138OTHERCALIFORNIACLIA LICENSE STE 601
11110061982OTHERCALIFORNIARAILROAD GROUP RENDERING
12CAL000056694OTHERCALIFORNIARADIOLOGIC LICENSE
1319359OTHERCALIFORNIAFICTITIOUS NAME PERMIT

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.