Stephen Bensussen OD

NPI 1780743401 - Optometrist - 152W00000X

NPI Details
NPI 1780743401
Gender Male
Enumeration Date 12/08/2006
Last Updated 11/30/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
13652 CANTARA ST
PANORAMA CITY CA, 91402-5423, US
Phone (818) 375-2000
Fax
Business Location
393 E WALNUT ST
3RD FLOOR PHR SYSTEMS
PASADENA CA, 91188-0001, US
Phone (000) 000-0000
Fax (000) 000-0000
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number OPT4784T
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According to our database, Stephen Bensussen OD NPI is 1780743401, taxonomy code is 152W00000X and license number is OPT4784T, license state is located at California. Stephen Bensussen OD physically located at 13652 Cantara St, Panorama City CA, 91402-5423. NPI Number Stephen Bensussen OD has the Individual type.

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1780743401 NPI number is provided on an as is basis without warranty of any kind. 1780743401 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Bensussen OD are for informational purposes only.