Organization
CRESTWOOD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMEER MALHOTRA M.D. (PRESIDENT)
(818) 986-9099
Entity
Organization
Contact information
Practice address
4910 VAN NUYS BLVD, SUITE #308, SHERMAN OAKS, CA 91403-1715
(818) 986-9099
(818) 986-9089
Mailing address
4910 VAN NUYS BLVD, SUITE #308, SHERMAN OAKS, CA 91403-1715
(818) 986-9099
(818) 986-9089
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A76279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A762790
—
CA
Enumeration date
03/10/2015
Last updated
03/10/2015
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