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Organization
TARZANA OPTIMAL MEDICAL CENTER INC
Active
Organization
TARZANA OPTIMAL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN DO MD (CEO/)
(310) 962-9996
Entity
Organization
Contact information
Practice address
18345 VENTURA BLVD STE 202, TARZANA, CA 91356-4241
(310) 962-9996
(747) 588-5950
Mailing address
18345 VENTURA BLVD STE 202, TARZANA, CA 91356-4241
(310) 962-9996
(747) 588-5950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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