DR. MARVIN J TEITELBAUM, MD
Medical Practice at Santa Monica Blvd, Los Angeles, CA

License number
California A20032
Category
Medical Practice
Type
Ophthalmology
Address
Address
12304 Santa Monica Blvd STE 117, Los Angeles, CA 90025
Phone
(310) 820-1177
(310) 820-1107 (Fax)
National Provider ID: 1104902550
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Marvin Teitelbaum, age 95
354 Homewood Rd, Los Angeles, CA 90049
(310) 476-1123
Marvin J Teitelbaum
354 Homewood Rd, Los Angeles, CA 90049
(310) 476-1123
Marvin Teitelbaum
364 Homewood Rd, Los Angeles, CA 90049
Marvin J Teitelbaum
2901 Wilshire Blvd, Santa Monica, CA 90403
(310) 828-3401

Organization information

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MARVIN J. TEITELBAUM, M.D., INC

Los Angeles, CA  -  Santa Monica, CA

Industry:
Medical Doctor's Office
Registration:
May 19, 1978
Addresses:
12304 Santa Monica Blvd #117, Los Angeles, CA 90025 (Physical)
2901 Wilshire Blvd, Santa Monica, CA 90403
State ID:
C0865985
Business type:
Articles of Incorporation
President:
Marvin J. Teitelbaum (President)
Agent:
Marvin J Teitelbaum,Los Angeles, CA 90025 (Physical)

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