Organization
DAVID LAVIAN M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LAVIAN M.D. (PRESIDENT)
(818) 782-4300
Entity
Organization
Contact information
Practice address
14600 SHERMAN WAY, SUITE 215, VAN NUYS, CA 91405-2283
(818) 782-4300
(818) 782-6411
Mailing address
PO BOX 571286, TARZANA, CA 91357-1286
(818) 782-4300
(818) 782-6411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A46370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A463700
—
CA
Enumeration date
02/13/2011
Last updated
02/13/2011
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