Individual
ASHER BENJAMIN MIRVISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4677
(818) 904-3132
Mailing address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4677
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
39020000X
CA
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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