Provider Demographics
NPI:1891969564
Name:BEN-ARTZI, DANA OREN (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:OREN
Last Name:BEN-ARTZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:OREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2210 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 00
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404
Mailing Address - Country:US
Mailing Address - Phone:310-829-3525
Mailing Address - Fax:310-829-7437
Practice Address - Street 1:2210 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 00
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2313
Practice Address - Country:US
Practice Address - Phone:310-829-3525
Practice Address - Fax:310-829-7437
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60001024208000000X
CAA102367208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics