Provider Demographics
NPI:1053580241
Name:EFRAT Z. LOBEL, M.D. A PROFESSIONAL CORP
Entity type:Organization
Organization Name:EFRAT Z. LOBEL, M.D. A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:EFRAT
Authorized Official - Middle Name:Z
Authorized Official - Last Name:LOBEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-232-5677
Mailing Address - Street 1:23679 CALABASAS RD # 627
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1502
Mailing Address - Country:US
Mailing Address - Phone:818-232-5677
Mailing Address - Fax:818-647-0209
Practice Address - Street 1:16311 VENTURA BLVD STE 1255
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4363
Practice Address - Country:US
Practice Address - Phone:818-232-5677
Practice Address - Fax:818-647-0209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A671990OtherBLUE SHIELD