Healthcare Provider Details

I. General information

NPI: 1346394459
Provider Name (Legal Business Name): GUZIEL & SCHOENFELD NEPHROLOGY & INTERNAL MEDICINE AFFILIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18370 BURBANK BLVD #504
TARZANA CA
91356
US

IV. Provider business mailing address

18370 BURBANK BLVD #504
TARZANA CA
91356-2804
US

V. Phone/Fax

Practice location:
  • Phone: 818-345-0664
  • Fax: 818-345-1866
Mailing address:
  • Phone: 818-345-0664
  • Fax: 818-345-1866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG10627
License Number StateCA

VIII. Authorized Official

Name: DR. LAWRENCE P GUZIEL
Title or Position: PARTNER
Credential: M.D.
Phone: 818-668-8869