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Organization

VALLEY GERIATRIC MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAN OSTERWEIL M.D. (OWNER)
(818) 986-7908
Entity
Organization

Contact information

Practice address
4911 VAN NUYS BLVD, SUITE 100, SHERMAN OAKS, CA 91403-1716
(818) 986-7908
(818) 986-9308
Mailing address
4911 VAN NUYS BLVD, SUITE 100, SHERMAN OAKS, CA 91403-1716
(818) 986-7908
(818) 990-4662

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A41240
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588651905
DR. OSTERWEILS NPI
CA
05
GR0044060
CA
Enumeration date
12/14/2006
Last updated
12/23/2010
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