Organization
NEURO CARE OF TARZANA MEDICAL CLINIC, INC
Active
Organization
NEURO CARE OF TARZANA MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK KUMAR CHUGH MD (PRESIDENT AND CEO)
(818) 342-1515
Entity
Organization
Contact information
Practice address
18344 CLARK ST SUITE # 208, TARZANA, CA 91356-3505
(818) 342-1515
(818) 342-0500
Mailing address
18344 CLARK STREET SUITE # 208, TARZANA, CA 91356-3505
(818) 342-1515
(818) 342-0500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A78516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A785160
—
CA
Enumeration date
01/01/2007
Last updated
08/19/2011
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