# GTL MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376156109
- **Authorized official:** LESLIE MOSS KALMAN MD (PRESIDENT)
- **Authorized official phone:** (818) 616-4838

## Contact information

- **Practice address:** 14555 HAMLIN ST STE 107, VAN NUYS, CA 91411-1617
- **Practice address phone:** (818) 616-4838
- **Mailing address:** 14555 HAMLIN ST STE 107, VAN NUYS, CA 91411-1617
- **Mailing address phone:** (818) 616-4838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 10/14/2020