ALLAN S. WIRTZER (NPI# 1295792505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295792505 |
| Entity Type | Organization |
| Organization Name | ALLAN S. WIRTZER |
| Other Organization Name | MID VALLEY DERMATOLOGICAL SURGERY CENTER |
| Practice Address |
4836 Van Nuys Blvd Sherman Oaks CA 91403-2101 |
| Practice Telephone | 8189077546 |
| Practice Fax Number | 8189079506 |
| Mailing Telephone | 8189077546 |
| Mailing Fax Number | 8189079506 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | ALLAN STANLEY WIRTZER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8189077546 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
261QA1903X | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ALLAN S. WIRTZER MD, MEDICAL DIRECTOR NPI# | 1326003161 | 01 |
| Other Name | Type Code |
|---|---|
| MID VALLEY DERMATOLOGICAL SURGERY CENTER | Doing Business As Name - Organization |
| Street Address |
4836 VAN NUYS BLVD |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861456998 | Robert C Higham | Physician Assistant | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2006-04-14 |
| 1629465778 | Adam Brody Aronson | Dermatology | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2015-04-15 |
| 1093053027 | Steven Varkony | Plastic Surgery | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2013-01-25 |
| 1215286083 | Asi Surgery Center, Inc. | Clinic/Center | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2012-09-07 |
| 1023377082 | American Skin Institute Inc. | Dermatology | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2012-05-11 |
| 1053629121 | Jaclyn Sonia Agopian | Physician Assistant | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2010-09-22 |
| 1104053743 | Elise Herro | Dermatology | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2009-06-21 |
| 1235335902 | Mid Valley Dermatology | Dermatology | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2007-06-21 |
| 1336359322 | The Plastic Surgery Center, A Medical Corporation | Surgery | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2007-05-22 |
| 1558456517 | Ilya Reyter | Dermatology | 4836 Van Nuys Blvd, Sherman Oaks, CA 91403-2101 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013458231 | Tatoyan Md Apc | Clinic/Center | 5651 Sepulveda Blvd Ste 103, Sherman Oaks, CA 91411-2954 | 2017-03-20 |
| 1184073884 | Radiance Surgery Center Inc | Clinic/Center | 5170 Sepulveda Blvd Ste 240, Sherman Oaks, CA 91403-1190 | 2016-06-03 |
| 1831569094 | Sherman Oaks Ambulatory Surgery Center | Clinic/Center | 4940 Van Nuys Blvd Ste 103, Sherman Oaks, CA 91403-1739 | 2015-09-30 |
| 1396054599 | Beverly Oaks Physicians Surgical Center, LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 308, Sherman Oaks, CA 91403-1715 | 2010-10-05 |
| 1306447446 | Select Surgery Center | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2020-11-05 |
| 1083211643 | Alpha Surgery Center LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2020-10-07 |
| 1063924017 | Radiance Surgery Center LLC | Clinic/Center | 5170 Sepulveda Blvd Ste 240, Sherman Oaks, CA 91403-1190 | 2017-10-31 |
| 1467903716 | Addison Asc LLC | Clinic/Center | 4955 Van Nuys Blvd, Suite 719, Sherman Oaks, CA 91403-1801 | 2016-10-21 |
| 1982157053 | First Choice Surgical Center, Inc. | Clinic/Center | 5651 Sepulveda Blvd, Suite 103, Sherman Oaks, CA 91411-2953 | 2016-07-25 |
| 1619320942 | Total Health Surgery Center, LLC | Clinic/Center | 4910 Van Nuys Blvd Ste 306, Sherman Oaks, CA 91403-1770 | 2016-07-21 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on ALLAN S. WIRTZER.
| 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.