# CEDARS PRIMARY CARE APMC

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

## Provider details

- **NPI number:** 1396115853
- **Authorized official:** DR. JONATHAN RAIMAN MD (CEO)
- **Authorized official phone:** (310) 999-1866

## Contact information

- **Practice address:** 18370 BURBANK BLVD STE 201, TARZANA, CA 91356-2853
- **Practice address phone:** (818) 784-1061
- **Mailing address:** PO BOX 262030, ENCINO, CA 91426-2030
- **Mailing address phone:** (310) 999-1866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | A127747 | CA | Yes |

## Other

- **Enumeration date:** 09/28/2015
- **Last updated:** 02/10/2016