Tarzana Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197604926 Issued in CA

Legal business name

TARZANA MANOR

Practice address

18162 Rancho St
Tarzana, CA 91356-4616

Phone

(818) 758-9323

NPI assigned

Nov 4, 2016

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dina Pamatmat

Title

Owner

Phone

(818) 758-9232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1275075426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18162 RANCHO ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564616",
            "telephone_number": "818-758-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18162 RANCHO ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564616",
            "telephone_number": "818-758-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARZANA MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "PAMATMAT",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-758-9232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197604926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tarzana Pediatric Medical Group Inc

• Assisted Living Facility in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.