Individual
IRVIN S. BENOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
191 S BUENA VISTA ST, STE. 420, BURBANK, CA 91505-4554
(818) 557-7399
(818) 848-1543
Mailing address
777 FLOWER ST STE A, GLENDALE, CA 91201-3000
(818) 637-2000
(818) 242-8761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A4228
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A4228
CA
2083A0100X
Aerospace Medicine Physician
20A4228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX42280
—
CA
Enumeration date
02/21/2007
Last updated
04/14/2011
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