Healthcare Provider Details

I. General information

NPI: 1750034070
Provider Name (Legal Business Name): HEALTHY FUTURE MEDICAL CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2022
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13651 OXNARD ST
VAN NUYS CA
91401-4045
US

IV. Provider business mailing address

13651 OXNARD ST
VAN NUYS CA
91401-4045
US

V. Phone/Fax

Practice location:
  • Phone: 818-732-7300
  • Fax: 818-732-7302
Mailing address:
  • Phone: 818-860-4554
  • Fax: 818-860-4557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: ZINOVY N LEKHT
Title or Position: PRESIDENT
Credential: M. D.
Phone: 818-860-4554