MEDICARE: DR. BENJAMIN HARRIS MEISEL 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	208000000X	Pediatrics Physician	A78935	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A78935	OTHER	CA	MED LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336162148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN HARRIS MEISEL MD

Provider Business Mailing Address
First Line	:	27506 BERKSHIRE HILLS PL
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91354-1829
Country	:	US
Telephone Number	:	661-284-5969
Fax Number	:	661-284-5969

Provider Business Practice Location Address
First Line	:	27506 BERKSHIRE HILLS PL
Second Line	:
City	:	VALENCIA
State	:	CA
Zip	:	91354-1829
Country	:	US
Telephone Number	:	661-284-5969
Fax Number	:	661-284-5969

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	08/26/2010

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