Organization
CALVIN EZRIN MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN EZRIN MD (PRESIDENT)
(818) 996-3936
Entity
Organization
Contact information
Practice address
18372 CLARK STREET, SUITE 226, TARZANA, CA 91356-3508
(818) 996-3936
(818) 996-3655
Mailing address
18372 CLARK STREET, SUITE 226, TARZANA, CA 91356-3508
(818) 996-3936
(818) 996-3655
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G33066
CA
Other
Enumeration date
11/14/2007
Last updated
11/30/2007
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