Provider Type Icon

PACIFIC GYNECOLOGIC SPECIALISTS NPI 1609074806


NPI Information

NPI: 1609074806
Provider Name: PACIFIC GYNECOLOGIC SPECIALISTS
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
181 SOUTH BUENA VISTA STREET
3RD FLOOR
BURBANK, CA
ZIP 91505
Phone: (818) 847-4436
Get Directions

PACIFIC GYNECOLOGIC SPECIALISTS is a gynecologic oncology obstetrics gynecology in Burbank, CA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. PACIFIC GYNECOLOGIC SPECIALISTS NPI is 1609074806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

181 SOUTH BUENA VISTA STREET
3RD FLOOR
BURBANK, CA
ZIP 91505-204
Phone: (818) 847-4436
Fax: (818) 847-4432

The provider's authorized official is Richard Lee Friedman .
The authorized official title is Managing Partner and has the following contact phone number (818) 847-4436.

The enumeration date for this NPI number is 7/10/2007 and was last updated on 8/9/2011.


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
1207VX0201XObstetrics & GynecologyGynecologic OncologyGR0103810CALIFORNIAYes

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
1GR0103810MEDICAIDCALIFORNIA
2W19545MEDICARE 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: 4/28/2024

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.