Unknown Individual – Obstetrics & Gynecology Physician, NPI 1942201769
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1600, San Fernando Road, San Fernando, Los Angeles County, California, 91340, United States
SAN FERNANDO, CA 913403115
Phone: (818) 365-8086
Fax: (818) 898-4826
Type: Location
1172 N MACLAY AVE
SAN FERNANDO, CA 913401328
Phone: (818) 898-1388
Fax: (818) 365-4031
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91340)
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