Organization
MICHAEL D. LANDMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. LANDMAN M.D. (PRESIDENT)
(818) 609-0600
Entity
Organization
Contact information
Practice address
5525 ETIWANDA AVE, SUITE 312, TARZANA, CA 91356-3647
(818) 609-0600
(818) 609-1680
Mailing address
5525 ETIWANDA AVE, SUITE 312, TARZANA, CA 91356-3647
(818) 609-0600
(818) 609-1680
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A22817
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A228170
—
CA
Enumeration date
09/02/2012
Last updated
09/02/2012
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