Organization
JACOB REZNIK MD, INC., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB REZNIK MD (OWNER)
(310) 980-6037
Entity
Organization
Contact information
Practice address
16055 VENTURA BLVD, #690, ENCINO, CA 91436-2601
(818) 789-5558
Mailing address
8568 BURTON WAY, #102, LOS ANGELES, CA 90048-3353
(310) 980-6037
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A101891
CA
Other
Enumeration date
12/31/2007
Last updated
12/05/2008
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