=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053580241
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EFRAT Z. LOBEL, M.D. A PROFESSIONAL CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/21/2008
-----------------------------------------------------
Last Update Date | 09/12/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16311 VENTURA BLVD STE 1255
-----------------------------------------------------
City | ENCINO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91436-4363
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-232-5677
-----------------------------------------------------
Fax | 818-647-0209
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23679 CALABASAS RD # 627
-----------------------------------------------------
City | CALABASAS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91302-1502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-232-5677
-----------------------------------------------------
Fax | 818-647-0209
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CORPORATE OFFICER
-----------------------------------------------------
Name | DR. EFRAT Z. LOBEL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 818-232-5677
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------