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COMPREHENSIVE MATERNAL-FETAL MEDICINE CENTER A PROFESSIONAL MED CORP NPI 1467829291


NPI Information

NPI: 1467829291
Provider Name: COMPREHENSIVE MATERNAL-FETAL MEDICINE CENTER, A PROFESSIONAL MED CORP
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2129335

Address:
18399 VENTURA BLVD
249
TARZANA, CA
ZIP 91356
Phone: (818) 345-2455
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COMPREHENSIVE MATERNAL-FETAL MEDICINE CENTER, A PROFESSIONAL MED CORP is a specialist in Tarzana, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COMPREHENSIVE MATERNAL-FETAL MEDICINE CENTER, A PROFESSIONAL MED CORP NPI is 1467829291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18399 VENTURA BLVD
249
TARZANA, CA
ZIP 91356-233
Phone: (818) 345-2455
Fax: (818) 344-3101

The provider's authorized official is Roy Zion Mansano .
The authorized official title is President and has the following contact phone number (818) 345-2455.

The CLIA number assigned to this NPI record is 05D2129335 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2015 and was last updated on 10/27/2015.


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
1174400000XSpecialistA84716CALIFORNIAYes

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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