| Ben Taub Institute | |
|
16055 Ventura Blvd Ste 1120 Encino CA 91436-2612 | |
| (818) 270-6491 | |
| Not Available |
| Full Name | Ben Taub Institute |
|---|---|
| Speciality | Clinic/center |
| Location | 16055 Ventura Blvd Ste 1120, Encino, California |
| Authorized Official Name and Position | Martin Panczel Graumann (MANAGING DEIRECTOR - MEMBER) |
| Authorized Official Contact | 8182706491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ben Taub Institute 16055 Ventura Blvd Ste 1120 Encino CA 91436-2612 Ph: (818) 270-6491 | Ben Taub Institute 16055 Ventura Blvd Ste 1120 Encino CA 91436-2612 Ph: (818) 270-6491 |
| NPI Number | 1982946398 |
|---|---|
| Provider Enumeration Date | 03/24/2013 |
| Last Update Date | 03/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982946398 | NPI | - | NPPES |
| 1558603944 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A47960 (California) | Primary |
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