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NPI Code Detail

MEDICARE: AIMEE PACKER OSTICK M.D.

MEDICARE: AIMEE PACKER OSTICK 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
1207Q00000XFamily Medicine PhysicianA113996CA

General Provider Information

NPI Number : 1679749865
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE PACKER OSTICK M.D.
Provider Business Mailing Address
First Line : 21400 VENTURA BLVD STE C
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-2008
Country : US
Telephone Number : 818-600-2426
Fax Number :
Provider Business Practice Location Address
First Line : 21400 VENTURA BLVD STE C
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-2008
Country : US
Telephone Number : 818-600-2426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2008
Last Update Date : 11/15/2019

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Directions to “ AIMEE PACKER OSTICK M.D.” Practice Location

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