Provider Demographics
NPI:1558355404
Name:KNOPF, ALAN BEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:BEN
Last Name:KNOPF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:14445 OLIVE VIEW DRIVE
Mailing Address - Street 2:OLIVE VIEW- UCLA MEDICAL
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1495
Mailing Address - Country:US
Mailing Address - Phone:818-364-3194
Mailing Address - Fax:818-364-3514
Practice Address - Street 1:14445 OLIVE VIEW DRIVE
Practice Address - Street 2:OLIVE VIEW- UCLA MEDICAL
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1495
Practice Address - Country:US
Practice Address - Phone:818-364-3194
Practice Address - Fax:818-364-3514
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2010-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG12310207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18224OtherMEDICARE SUBMITTER NUMBER
CAWG12310BMedicare PIN
A90202Medicare UPIN
CAA90202Medicare UPIN