Ben Taub Medical Institute
Clinic/Center in Encino, CA. Organization (NPI-2).
NPI number1982946398
StatusActive
Last updated in NPPESMar 24, 2013
Details
- NPI
- 1982946398
- Entity type
- Organization (NPI-2)
- Legal business name
- Ben Taub Medical Institute
- Organization subpart
- Yes
- Enumeration date
- Mar 24, 2013
- Last updated
- Mar 24, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | A47960 | CA | Yes |
Other names
- Ben Taub Institute (Doing Business As)
Practice location
16055 Ventura Blvd Ste 1120Encino, CA 91436-2612
Phone 818-270-6491
Mailing address
16055 Ventura Blvd Ste 1120Encino, CA 91436-2612
Phone 818-270-6491
Authorized official
Martin Panczel Graumann
Managing Deirector - Member
8182706491
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