TARZANA PEDIATRIC MEDICAL GROUP INC
Medical Practice in Los Angeles, CA

License number
California G16804
Category
Osteopathic Medicine
Type
Endocrinology, Diabetes & Metabolism
License number
California G16804
Category
Medical Practice
Type
Pediatrics
Owner
Name: NORMAN LAVIN MD
Title: OWNER
Phone: (818) 345-7792
Address
Address
18370 Burbank Blvd Suite #204, Los Angeles, CA 91356
National Provider ID: 1033227970
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TARZANA PEDIATRIC MEDICAL GROUP, INC

18370 Burbank Blvd #204, Tarzana, CA 91356

Registration:
Mar 9, 1973
State ID:
C0676412
Business type:
Articles of Incorporation
President:
Norman Lavin (President)

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