Organization
INDIANER, LASK & ROSENZWEIG, M.D.'S, DERMATOLOGY GROUP, A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LASK M.D. (OWNER)
(818) 788-4022
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD STE 530, ENCINO, CA 91436-2248
(818) 788-4022
(818) 788-3728
Mailing address
16260 VENTURA BLVD STE 530, ENCINO, CA 91436-2248
(818) 788-4022
(818) 788-3728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A35542
CA
Other
Enumeration date
06/20/2006
Last updated
09/11/2018
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