Organization
CALIFORNIA PULMONARY DISEASE MEDICAL GROUP INC
Active
Other names
Fouad Ben Isaac MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FOUAD E BEN-ISAAC MD (OWNER MEDICAL DOCTOR)
(310) 821-1187
Entity
Organization
Contact information
Practice address
1200 SHADOW HILL WAY, BEVERLY HILLS, CA 90210
(310) 821-1187
(310) 276-7289
Mailing address
1200 SHADOW HILL WAY, BEVERLY HILLS, CA 90210
(310) 821-1187
(310) 276-7289
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A252520
—
CA
Enumeration date
01/08/2007
Last updated
09/15/2010
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