Irvin S. Benowitz
Family Doctor Family Doctor - Geriatric Medicine
191 S Buena Vista St Ste. 420
Burbank
, California 91505-4554
Irvin S. Benowitz
Family Doctor Family Doctor - Geriatric Medicine
191 S Buena Vista St Ste. 420
Burbank
, California 91505-4554
(818) 242-8761
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Irvin S. Benowitz
- 777 Flower St Ste A
- Glendale, CA
- Zip : 91201-3000
- Fax : (818) 242-8761
- Phone : (818) 637-2000
Second Address
- Irvin S. Benowitz
- 191 S Buena Vista St Ste. 420
- Burbank, CA
- Zip : 91505-4554
- Fax : (818) 848-1543
- Phone : (818) 557-7399
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 20A4228 | CA |
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 20A4228 | CA |
National Provider Identifier
| NPI | 1083749212 |
|---|---|
| Provider Name | Irvin S. Benowitz |
| First Address | Glendale, CA 91201-3000 |
| Second Address | Burbank, CA 91505-4554 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 14/04/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00AX42280 | (05) | CA |
| C64491 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.