Edward D Betz MD a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G34138 Issued in CA

Legal business name

EDWARD D BETZ MD A MEDICAL CORPORATION

Practice address

4555 Sherman Oaks Ave
Sherman Oaks, CA 91403-3011

Phone

(818) 981-5800

Fax

(818) 981-2879

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Doug Cyr

Title

Billing Administrator

Phone

(818) 957-2192

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1154671642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033011",
            "telephone_number": "818-981-5800",
            "fax_number": "818-981-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033011",
            "telephone_number": "818-981-5800",
            "fax_number": "818-981-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D BETZ MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "818-957-2192"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Economou, M.A.
• Eddie Siman DDS Inc (Millennium Dental)
• Tara Eddy, M.S.
• Eder Home Health Care Inc
• Eder Hospice Care, Inc.
• Edwin Haronian, M D. Inc.
• Tala Eftekhari, DDS
• Navid Eghbal, LMFT
• Babak Eghbalieh, MD FACS
• Sammy Daniel, David Eghbalieh, M.D.

• Internal Medicine Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.