Individual
KERRY K. ASSIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 N. ROXBURY DR. 3RD FL., BEVERLY HILLS, CA 90210
(310) 453-8911
(310) 453-2519
Mailing address
450 N. ROXBURY DR. 3RD FL., BEVERLY HILLS, CA 90210
(310) 453-8911
(310) 453-2519
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G62647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G626470
—
CA
Enumeration date
07/10/2006
Last updated
03/14/2024
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