MEDICARE: DR. ROY GIL HANDELSMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	A165511	CA

General Provider Information

NPI Number	:	1275028961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROY GIL HANDELSMAN MD

Provider Business Mailing Address
First Line	:	15503 VENTURA BLVD STE 200
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-3127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15503 VENTURA BLVD STE 200
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-3127
Country	:	US
Telephone Number	:	818-788-7288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2018
Last Update Date	:	06/25/2025

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