Healthcare Provider Details

I. General information

NPI: 1245166065
Provider Name (Legal Business Name): CLARION VISION CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N BEDFORD DR STE 307
BEVERLY HILLS CA
90210-4347
US

IV. Provider business mailing address

435 N BEDFORD DR STE 307
BEVERLY HILLS CA
90210-4347
US

V. Phone/Fax

Practice location:
  • Phone: 310-666-0348
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BENJAMIN MANDEL
Title or Position: PHYSICIAN
Credential:
Phone: 310-666-0348