Fouladian, Benjamin

Fouladian, Benjamin is an sole proprietor health care provider with primary practice located at 403 N Pacific Coast Hwy #108, Redondo Beach CA 90277-2839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fouladian, Benjamin can be contacted via phone (310) 318-6665.

Contact Information

Primary practice address
403 N Pacific Coast Hwy #108 Redondo Beach CA 90277-2839
Phone: (310) 318-6665
Fax: (310) 318-7117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 9702 California
Eye and Vision Services Providers / Optometrist 152W00000X BOL5070 California

Profile Details

NPI number 1124192620
LBN Legal business name Fouladian, Benjamin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated May 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124192620 NPPES
California MEDICAID 6784926

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