Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G79191 | CA |
NPI | 1437286952 |
---|---|
Provider Name | Dr. Snunit Ben - Ozer |
First Address | Tarzana, CA 91356-2804 |
Second Address | Tarzana, CA 91356-2804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 10/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201535749 | TAX ID (01) | CA |