DR. MICHAEL GORDON LUTSKY (NPI# 1255672481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255672481 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GORDON LUTSKY |
| Credential | M.D. |
| Practice Address |
18747 Hatteras St #8 Tarzana CA 91356-1462 |
| Practice Telephone | 8183459323 |
| Practice Fax Number | 8188814769 |
| Mailing Telephone | 8183459323 |
| Mailing Fax Number | 8188814769 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G16920 | CA | Other Service Providers |
| Street Address |
18747 HATTERAS ST #8 |
| City | TARZANA |
| State | CA |
| Zip Code | 91356-1462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679137293 | Sarah Badreau | Behavior Technician | 5554 Reseda Blv., Tarzana, CA 91356 | 2019-04-29 |
| 1831661966 | Daraie Dental Group Inc | Dentist | 5620 Wilbur Avenue Ste 300, Tarzana, CA 91356 | 2018-12-31 |
| 1982182770 | Blanca Garay | Respiratory Therapist, Registered | 18214 Burbank Blvd Apt 120, Tarzana, CA 91356 | 2018-08-02 |
| 1437659000 | Chloe Kang | Speech-Language Pathologist | 19019 Ventura Blvd., Tarzana, CA 91356 | 2018-02-20 |
| 1114430139 | Avb & Lv Corporation | Home Health | 18340 Ventura Blvd Ste 220, Tarzana, CA 91356 | 2017-11-13 |
| 1881110468 | Samina Qadir | Registered Nurse | 18321 Clark St., Tarzana, CA 91356 | 2017-08-16 |
| 1700306776 | Debbie Rehman Lux | Marriage & Family Therapist | 18370 Burbank Blvd., Suite 211, Tarzana, CA 91356 | 2017-06-21 |
| 1467980631 | Valley Nerological Services, LLC | Radiology | 5260 Wilbur Ave Ste 207, Tarzana, CA 91356 | 2017-05-31 |
| 1669906020 | Evolve Growth Initiatives LLC | Clinic/Center | 5435 Aura Avenue, Tarzana, CA 91356 | 2017-04-12 |
| 1780130088 | Evolve Growth Initiatives, LLC | Clinic/Center | 5358 Vanalden Drive, Tarzana, CA 91356 | 2016-08-28 |
| Find all providers in zip 91356 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245677491 | West Medical Center Inc | Specialist | 18425 Burbank Blvd Ste 102, Tarzana, CA 91356-2812 | 2013-05-29 |
| 1730411216 | Vincent Oriente | Specialist | 18757 Burbank Boulavard, Tarzana, CA 91356-3345 | 2010-02-08 |
| 1427109388 | Maged S Mikhail A Professional Corporation | Specialist | 18425 Burbank Blvd., Suite #102, Tarzana, CA 91356-2806 | 2007-01-16 |
| 1700947058 | Michael Vermesh | Specialist | 18370 Burbank Boulevard, Suite 301, Tarzana, CA 91356 | 2006-12-12 |
| 1639192263 | Robert A Weissman | Specialist | 5620 Wilbur Ave Ste 214, Tarzana, CA 91356-1309 | 2006-07-25 |
| 1790704344 | Donald Stephen Litvak | Specialist | 3808 Winford Dr, Tarzana, CA 91356-5824 | 2006-07-18 |
| 1912936683 | Marie-therese Pean | Specialist | 18411 Clark St., Suite 202, Tarzana, CA 91356 | 2006-07-03 |
| 1417995622 | Zahi Nassoura | Specialist | 18226 Ventura Boulevard, Suite 102, Tarzana, CA 91356-4246 | 2006-06-02 |
| 1962475244 | South Valley Internal Medicine A Medical Corporation | Specialist | 18356 Clark St, Suite 101, Tarzana, CA 91356-3502 | 2006-02-08 |
| 1841750650 | Aureliano Vasquez | Specialist | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2019-03-20 |
| Find all providers in TARZANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.