GARY REZNIK M. D. INC NPI 1215114251

NPI Information

NPI: 1215114251
Provider Name: GARY REZNIK M. D. INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
6333 WILSHIRE BLVD STE 200
LOS ANGELES, CA
ZIP 90048
Phone: (323) 653-2504
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GARY REZNIK M. D. INC is a cardiovascular disease internal medicine in Los Angeles, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GARY REZNIK M. D. INC NPI is 1215114251. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6333 WILSHIRE BLVD STE 200
LOS ANGELES, CA
ZIP 90048-724
Phone: (323) 653-2504
Fax: (323) 653-2515

The provider's authorized official is Gary Reznik .
The authorized official title is President and has the following contact phone number (323) 653-2504.

The enumeration date for this NPI number is 1/22/2008 and was last updated on 5/31/2012.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease	G67314	CALIFORNIA	Yes

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
1	WG67314F	OTHER	CALIFORNIA	MEDICARE INDIVIDUAL PTAN
2	E93660	MEDICARE UPIN
3	1215114251	MEDICAID	CALIFORNIA
4	W21850	MEDICARE PIN	CALIFORNIA
5	W21850	OTHER		MEDICARE GROUP PTAN

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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