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Provider Information for 1952597627

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

E DUANE CARMALT M.D.

Gender: MALE

Individual NPI: 1952597627

Calendar   Last Updated:  2013-06-20
  Certification Date: 

Details

Name Value
NPI 1952597627
Enumeration Date 2007-09-17
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 5620 WILBUR AVE SUITE 307
TARZANA, CA 91356-1351
United States

Phone: 818-881-9255 | Fax: 818-881-3397
View Map External Link
Primary Practice Address 5620 WILBUR AVE SUITE 307
TARZANA, CA 91356-1351
United States

Phone: 818-881-9255 | Fax: 818-881-3397
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other CA MEDI-CAL CA 00G239730
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RI0200X - Internal Medicine Infectious Disease CA G23973