Healthcare Provider Details

I. General information

NPI: 1124106646
Provider Name (Legal Business Name): LANARK FAMILY MEDICAL CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8040 VAN NUYS BLVD
PANORAMA CITY CA
91402-6010
US

IV. Provider business mailing address

8040 VAN NUYS BLVD
PANORAMA CITY CA
91402-6010
US

V. Phone/Fax

Practice location:
  • Phone: 818-373-4870
  • Fax: 818-997-9442
Mailing address:
  • Phone: 818-373-4870
  • Fax: 818-997-9442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. ANITHA REDDY KANKAR
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-373-4870