Ralph Potkin Md A Medical Corp in Los Angeles - Medical Specialty
Ralph Potkin Md A Medical Corp - NPI 1215079751
Ralph Potkin Md A Medical Corp is a Medical Specialty in Los Angeles, California. Ralph Potkin Md A Medical Corp practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Ralph Potkin Md A Medical Corp is 1215079751. The last update date is 2013-11-22.
Ralph Potkin Md A Medical Corp's current location address is 1125 S Beverly Dr, Los Angeles, California. You can contact this provider via phone number 3105511178 and fax number 3105512047. The mailing address for Ralph Potkin Md A Medical Corp is 1125 S Beverly Dr, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ralph Potkin Md A Medical Corp |
|---|---|
| Address | 1125 S Beverly Dr, Los Angeles, California |
| Phone Number | 3105511178 |
| Fax Number | 3105512047 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Potkin T Ralph |
| Credentials | MD |
| Telephone Number | 3105511178 |
NPI Number Detail
| NPI Number | 1215079751 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2013-11-22 |
Provider Mailing Address Detail
| Address | 1125 S Beverly Dr |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900351148 |
| Phone Number | 3105511178 |
| Fax Number | 3105512047 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0069770 | CA | -- |
Post Comment/ Review Below
What is the Ralph Potkin Md A Medical Corp's unique identification number?
The Ralph Potkin Md A Medical Corp has been assigned the NPI (National Provider Identifier) Number 1215079751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ralph Potkin Md A Medical Corp is physically located?
The Ralph Potkin Md A Medical Corp is physically situated at the following address: 1125 S Beverly Dr, Los Angeles, CA, 900351148.
What is Ralph Potkin Md A Medical Corp's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ralph Potkin Md A Medical Corp's area of specialization is Medical Specialty, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2500X.
When did the Ralph Potkin Md A Medical Corp receive its 1215079751?
The Ralph Potkin Md A Medical Corp was issued its 1215079751 on 2007-02-13, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Ralph Potkin Md A Medical Corp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ralph Potkin Md A Medical Corp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-11-22.
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