# MICHAEL D. LANDMAN, M.D., INC.

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

## Provider details

- **NPI number:** 1629327994
- **Authorized official:** DR. MICHAEL D. LANDMAN M.D. (PRESIDENT)
- **Authorized official phone:** (818) 609-0600

## Contact information

- **Practice address:** 5525 ETIWANDA AVE, SUITE 312, TARZANA, CA 91356-3647
- **Practice address phone:** (818) 609-0600
- **Practice address fax:** (818) 609-1680
- **Mailing address:** 5525 ETIWANDA AVE, SUITE 312, TARZANA, CA 91356-3647
- **Mailing address phone:** (818) 609-0600
- **Mailing address fax:** (818) 609-1680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A22817 | CA | Yes |

## Other

- **Enumeration date:** 09/02/2012
- **Last updated:** 09/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A228170 | — | CA |