Individual
MENACHEM WAKSLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16119 VANOWEN ST, VAN NUYS, CA 91406-4822
(818) 904-6782
(818) 904-5896
Mailing address
16119 VANOWEN ST, VAN NUYS, CA 91406-4822
(818) 904-6782
(818) 904-5896
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
240477-1
NY
207RC0000X
Cardiovascular Disease Physician
A114088
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
240477-1
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A114088
CA
Other
Enumeration date
10/16/2007
Last updated
10/05/2022
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