Provider Demographics
NPI:1881813988
Name:HEALTH CARE SYSTEMS
Entity type:Organization
Organization Name:HEALTH CARE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-299-6864
Mailing Address - Street 1:16935 VANOWEN ST
Mailing Address - Street 2:UNIT H
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4595
Mailing Address - Country:US
Mailing Address - Phone:323-299-6864
Mailing Address - Fax:323-299-6884
Practice Address - Street 1:16935 VANOWEN ST
Practice Address - Street 2:UNIT H
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-4595
Practice Address - Country:US
Practice Address - Phone:323-299-6864
Practice Address - Fax:323-299-6884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19726Medicare Oscar/Certification