Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | A126798 | CA |
NPI | 1144472879 |
---|---|
Provider Name | Dr. Benjamin Aziz Talei |
First Address | Beverly Hills, CA 90212-1800 |
Second Address | Beverly Hills, CA 90212-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2008 |
Last Update Date | 04/09/2014 |