Organization
ALLAN KURTZ PROFESSIONAL MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN LEE KURTZ D.O. (PHYSICIAN)
(818) 346-1440
Entity
Organization
Contact information
Practice address
6325 TOPANGA CANYON BLVD, 501, WOODLAND HILLS, CA 91367-2052
(818) 346-1440
(818) 346-9356
Mailing address
6325 TOPANGA CANYON BLVD, 501, WOODLAND HILLS, CA 91367-2052
(818) 346-1440
(818) 346-9356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A4625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A4625
MEDICARE
CA
05
—
33080508
—
CA
Enumeration date
02/22/2012
Last updated
02/29/2012
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