Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VALLEY VITA MEDICAL CENTER, INC
Active
Organization
VALLEY VITA MEDICAL CENTER, INC
Active
Other names
Tarzana Valley Vita Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
YUZEF GUROVICH M.D. (OWNER/CEO)
(805) 910-0333
Entity
Organization
Contact information
Practice address
18607 VENTURA BLVD.,, SUITE 206, TARZANA, CA 91356-4144
(818) 758-8282
(818) 758-8286
Mailing address
18607 VENTURA BLVD.,, SUITE 206, TARZANA, CA 91356-4144
(818) 758-8282
(818) 758-8286
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090900
—
CA
01
—
ZZZ02527Z
BLUE SHIELD
CA
Enumeration date
06/09/2006
Last updated
04/29/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up