Individual
DR. STANLEY M KOPELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16311 VENTURA BLVD, SUITE 750, ENCINO, CA 91436-2124
(818) 990-3623
(818) 788-1056
Mailing address
16311 VENTURA BLVD, SUITE 750, ENCINO, CA 91436-2124
(818) 990-3623
(818) 788-1056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G14728
CA
Other
Enumeration date
11/11/2005
Last updated
03/31/2022
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