Organization
KEVIN PEZESHKI MD INC
Active
Other names
SAN JOSEPH MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PEZESHKI M.D. (MEDICAL DIRECTOR)
(818) 909-9955
Entity
Organization
Contact information
Practice address
13750 VICTORY BLVD, VAN NUYS, CA 91401-2324
(818) 909-9955
(818) 909-0454
Mailing address
13750 VICTORY BLVD, VAN NUYS, CA 91401-2324
(818) 909-9955
(818) 909-0454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A67148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090250
—
CA
Enumeration date
08/20/2007
Last updated
08/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us