Organization
URI BEN-ZUR M.D.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. URI M BEN-ZUR M.D. (PRESIDENT/OWNER)
(818) 986-7460
Entity
Organization
Contact information
Practice address
4549 HASKELL AVE, 4, ENCINO, CA 91436-3100
(818) 986-7460
(818) 285-4224
Mailing address
17609 VENTURA BOULEVARD, 106, ENCINO, CA 91316
(818) 986-0911
(818) 986-9301
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
G75051
CA
305R00000X
Preferred Provider Organization
Primary
G75051
CA
305S00000X
Point of Service
G75051
CA
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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