Provider Demographics
NPI:1770620429
Name:LANCASTER RHEUMATOLOGY AND OSTEOPOROSIS CENTER INC.
Entity type:Organization
Organization Name:LANCASTER RHEUMATOLOGY AND OSTEOPOROSIS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAVEED
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-940-9555
Mailing Address - Street 1:44835 DATE AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-3102
Mailing Address - Country:US
Mailing Address - Phone:661-940-9555
Mailing Address - Fax:661-940-9550
Practice Address - Street 1:44835 DATE AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-3102
Practice Address - Country:US
Practice Address - Phone:661-940-9555
Practice Address - Fax:661-940-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51672174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1952347676Medicare UPIN