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NPI Code Detail

MEDICARE: COLUMBIA CENTER FOR INTEGRATIVE MEDICINE

MEDICARE: COLUMBIA CENTER FOR INTEGRATIVE MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician140801CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11205217643OTHERMDMD-NPI
21205217643OTHERCACA-NPI

General Provider Information

NPI Number : 1205217643
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA CENTER FOR INTEGRATIVE MEDICINE
Provider Business Mailing Address
First Line : 6320 CANOGA AVE FL 15
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2563
Country : US
Telephone Number : 818-251-6498
Fax Number : 844-233-7639
Provider Business Practice Location Address
First Line : 6320 CANOGA AVE FL 15
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2563
Country : US
Telephone Number : 818-251-6498
Fax Number : 844-233-7639
Authorized Official
Title or Position : C E O
Name : DR. DUSHYANT VISWANATHAN
Credential :
Telephone Number : 818-251-6498
Provider Enumeration Date : 06/11/2015
Last Update Date : 05/11/2026

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Directions to “COLUMBIA CENTER FOR INTEGRATIVE MEDICINE ” Practice Location

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