Individual
E DUANE CARMALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5620 WILBUR AVE, SUITE 307, TARZANA, CA 91356-1351
(818) 881-9255
(818) 881-3397
Mailing address
5620 WILBUR AVE, SUITE 307, TARZANA, CA 91356-1351
(818) 881-9255
(818) 881-3397
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G23973
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G239730
CA MEDI-CAL
CA
Enumeration date
09/17/2007
Last updated
06/20/2013
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