Skip Navigation

Provider Information for 1629084074

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DAVID MICHAEL VESCO M.D

Other Name:   VESSELIN TCHALAKOV
Gender: MALE

Individual NPI: 1629084074

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1629084074
Enumeration Date 2006-07-31
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 4937 LAS VIRGENES RD STE 104
CALABASAS, CA 91302-2949
United States

Phone: 818-880-0799 | Fax: 818-880-6689
View Map External Link
Primary Practice Address 4937 LAS VIRGENES RD STE 104
CALABASAS, CA 91302-2949
United States

Phone: 818-880-0799 | Fax: 818-880-6689
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207QA0505X - Family Medicine Adult Medicine CA A43384