GTL Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GTL MEDICAL GROUP INC

Practice address

14555 Hamlin St Ste 107
Van Nuys, CA 91411-1617

Phone

(818) 616-4838

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Leslie Moss Kalman, MD

Title

President

Phone

(818) 616-4838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1376156109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 HAMLIN ST STE 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111617",
            "telephone_number": "818-616-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 HAMLIN ST STE 107",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111617",
            "telephone_number": "818-616-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GTL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "KALMAN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MOSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-616-4838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.