Healthcare Provider Details
I. General information
NPI: 1215963939
Provider Name (Legal Business Name): MERIL S PLATZER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/24/2006
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6325 TOPANGA CANYON BLVD SUITE 417
WOODLAND HILLS CA
91367-2006
US
IV. Provider business mailing address
6325 TOPANGA CANYON BLVD STE 101
WOODLAND HILLS CA
91367-2010
US
V. Phone/Fax
- Phone: 805-239-9055
- Fax: 818-992-4124
- Phone: 805-239-9055
- Fax: 805-992-4124
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | G47770 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: