Organization Active NPI

Arthur Benjamin, M.D. a Prof. Med. Corp

  • Ophthalmology Physician
  • West Hollywood, CA
National Provider Identifier
1487843280
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A55562 Issued in CA
Legal business name
ARTHUR BENJAMIN, M.D. A PROF. MED. CORP
Practice address
9201 W Sunset Blvd
Suite 709
West Hollywood, CA 90069-3701
Phone
(310) 275-5533
Fax
(310) 275-5523
NPI assigned
Oct 17, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Milla Golubchik
Title
Manager
Phone
(310) 275-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A55562 CA Primary

Addresses

Primary practice location

9201 W Sunset Blvd
Suite 709
West Hollywood, CA 90069-3701

Mailing address

9201 W Sunset Blvd
Suite 709
West Hollywood, CA 90069-3701
Phone (310) 275-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050210001024 CA Part B Supplier - Clinic/Group Practice 7416909197 Receives reassigned benefits from 5 practitioners
Practice locations: West Hollywood, CA

National Provider Directory

National Provider Directory

Locations

8737 Beverly Blvd
Ste 401
West Hollywood, CA 90048
Phone (310) 854-4433

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1487843280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD",
            "address_2": "SUITE 709",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-275-5533",
            "fax_number": "310-275-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD",
            "address_2": "SUITE 709",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-275-5533",
            "fax_number": "310-275-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR BENJAMIN, M.D. A PROF. MED. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "GOLUBCHIK",
        "authorized_official_first_name": "MILLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-275-5533",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A55562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.