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NPI Code Detail

MEDICARE: JOHN K. SLAGHT M.D.

MEDICARE: JOHN K. SLAGHT 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
1207L00000XAnesthesiology PhysicianA61049CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790831287
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN K. SLAGHT M.D.
Provider Business Mailing Address
First Line : PO BOX 7001
Second Line :
City : TARZANA
State : CA
Zip : 91357-7001
Country : US
Telephone Number : 818-888-7815
Fax Number : 818-715-1722
Provider Business Practice Location Address
First Line : 696 HAMPSHIRE RD
Second Line : STE 100
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-4456
Country : US
Telephone Number : 805-413-7920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 10/04/2017

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