EOLB MEDICAL GROUP INC
NPI 1881165546
General Practice in Lake Balboa, CA

Active since December 06, 2018
16927 VANOWEN ST STE 4, LAKE BALBOA, CA 91406(818) 483-4717 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 24, 2019, Dec 6, 2018 (2 updates tracked since 2018).

About Eolb Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EOLB MEDICAL GROUP INC (NPI 1881165546) is a healthcare organization registered as a general practice in Lake Balboa, California and active in the NPI registry since December 2018. The organization lists Eugene Ostrovsky, President/ Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881165546
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEOLB MEDICAL GROUP INC
Location Address16927 VANOWEN ST STE 4Lake Balboa, CA 91406-4582
Mailing Address18180 Andrea Cir N Unit 5Northridge, CA 91325-1107 · (818) 960-5334
Organization SubpartNo
Authorized OfficialEugene OstrovskyPresident/ Medical Director · (818) 960-5334
Enumeration DateDecember 6, 2018
Last NPPES UpdateJanuary 24, 20192 updates tracked since enumeration
NPI 1881165546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
16927 VANOWEN ST STE 4, Lake Balboa, CA 91406

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
16927 VANOWEN ST STE 4
LAKE BALBOA, CA 91406
Durable Medical Equipment & Medical Supplies
16927 VANOWEN ST STE 4
VAN NUYS, CA 91406
Family Medicine
16927 VANOWEN ST STE 4
VAN NUYS, CA 91406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eolb Medical Group Inc's NPI number?

The NPI number for Eolb Medical Group Inc is 1881165546. It was assigned to this organization in the NPPES registry on December 6, 2018.

Where is Eolb Medical Group Inc located?

Eolb Medical Group Inc is located at 16927 Vanowen St Ste 4, Lake Balboa, CA 91406. The listed phone number is (818) 483-4717.

What is Eolb Medical Group Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Eolb Medical Group Inc was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.