Tarzana Optimal Medical Center Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TARZANA OPTIMAL MEDICAL CENTER INC

Practice address

18345 Ventura Blvd Ste 202
Tarzana, CA 91356-4241

Phone

(310) 962-9996

Fax

(747) 588-5950

NPI assigned

Jun 29, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kevin DO, MD

Title

Ceo/

Phone

(310) 962-9996

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1063199255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564241",
            "telephone_number": "310-962-9996",
            "fax_number": "747-588-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564241",
            "telephone_number": "310-962-9996",
            "fax_number": "747-588-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA OPTIMAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/",
        "authorized_official_telephone_number": "310-962-9996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarzana Hospice Inc
• Tarzana Hospitalist Medical Corporation
• Tarzana Manor
• Tarzana Medical Center LLC
• Tarzana Medical Urgent Care - a Professional Medical Corporation
• Tarzana Pain and Wound Center
• Tarzana Pediatric Medical Group Inc
• Tarzana Post Acute LLC
• Tarzana Recovery Center, Inc,
• Tarzana Senior Living, Inc.

• Physical Medicine & Rehabilitation Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.