Provider Demographics
NPI:1215963939
Name:PLATZER, MERIL S (MD)
Entity type:Individual
Prefix:
First Name:MERIL
Middle Name:S
Last Name:PLATZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6325 TOPANGA CANYON BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-2010
Mailing Address - Country:US
Mailing Address - Phone:805-239-9055
Mailing Address - Fax:805-992-4124
Practice Address - Street 1:6325 TOPANGA CANYON BLVD
Practice Address - Street 2:SUITE 417
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-2006
Practice Address - Country:US
Practice Address - Phone:805-239-9055
Practice Address - Fax:818-992-4124
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG477702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G477700Medicaid
CA130003278OtherMEDICARE RAILROAD
CA00G477700OtherBLUE SHIELD
CA00G477700Medicaid
CAG47770Medicare ID - Type Unspecified