NPI 1093077356 · live from the CMS NPI Registry
Benjamin Teichman Addicott, M.D.
Radiology, Vascular & Interventional Radiology in Huntington Beach, CA. National Provider Identifier 1093077356, active.
NPI record
| NPI | 1093077356 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Vascular & Interventional Radiology 2085R0204X |
| Practice location | 17161 Friml Ln, Huntington Beach, CA 92649 |
| Practice phone | 352-262-1784 |
| Mailing address | 2320 Bath St Ste 208, Santa Barbara, CA 93105 |
| Enumerated | June 13, 2012 |
| Last updated | April 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | A154348 (CA) |
| Radiology, Vascular & Interventional Radiology primary | 2085R0204X | 35149979 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.