MEDICARE: MRS. TERRE L. OSTERKAMP M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	G40344	CA

General Provider Information

NPI Number	:	1538134549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERRE L. OSTERKAMP M.D.

Provider Business Mailing Address
First Line	:	1809 VERDUGO BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1476
Country	:	US
Telephone Number	:	818-790-8121
Fax Number	:	818-952-0926

Provider Business Practice Location Address
First Line	:	1809 VERDUGO BLVD
Second Line	:	350
City	:	GLENDALE
State	:	CA
Zip	:	91208-1402
Country	:	US
Telephone Number	:	818-790-8121
Fax Number	:	818-952-0926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	07/08/2007

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