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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