Provider Demographics
NPI:1700282654
Name:OSHER RESOURCES INC
Entity Type:Organization
Organization Name:OSHER RESOURCES INC
Other - Org Name:ACT MEDICAL GROUP INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZANDRA
Authorized Official - Middle Name:BUENO
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:213-709-0777
Mailing Address - Street 1:6350 LAUREL CANYON BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-3278
Mailing Address - Country:US
Mailing Address - Phone:213-709-0777
Mailing Address - Fax:818-325-2092
Practice Address - Street 1:6350 LAUREL CANYON BLVD STE 205
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-3278
Practice Address - Country:US
Practice Address - Phone:213-709-0777
Practice Address - Fax:818-325-2092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Multi-Specialty