Provider Demographics
NPI:1841294733
Name:KNOPF, MERRILL M (MD)
Entity type:Individual
Prefix:
First Name:MERRILL
Middle Name:M
Last Name:KNOPF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1045 ATLANTIC AVE
Mailing Address - Street 2:STE 1007
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3413
Mailing Address - Country:US
Mailing Address - Phone:562-436-4558
Mailing Address - Fax:562-437-4558
Practice Address - Street 1:1045 ATLANTIC AVE
Practice Address - Street 2:STE 1007
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3413
Practice Address - Country:US
Practice Address - Phone:562-436-4558
Practice Address - Fax:562-437-4558
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG16139207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G161390Medicaid
WG16139AMedicare ID - Type Unspecified
CA00G161390Medicaid