Organization
STANLEY M KOPELOW M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY MARTIN KOLELOW M D (OWNER)
(818) 990-3623
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE # 750, ENCINO, CA 91436-4325
(818) 990-3623
(818) 788-1056
Mailing address
16311 VENTURA BLVD, SUITE # 750, ENCINO, CA 91436-4325
(818) 990-3623
(818) 788-1056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G14728
CA
Other
Enumeration date
03/19/2010
Last updated
03/31/2022
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