Organization
CALIFORNIA PULMONARY DISEASE MEDICAL GROUP INC
Active
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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