S PINE A MEDICAL CORPORATION (NPI# 1073833398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073833398 |
| Entity Type | Organization |
| Organization Name | S PINE A MEDICAL CORPORATION |
| Practice Address |
637 Lucas Ave Ste 205 Los Angeles CA 90017-1912 |
| Mailing Address |
9601 Kentland Ave Chatsworth CA 91311-2671 |
| Practice Telephone | 8187572235 |
| Mailing Telephone | 8187572235 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |
| Authorized Official Name | DR. STEPHEN NATHAN PINE (MD) |
| Authorized Official Telephone | 8187572235 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C33483 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1356352108 | 05 |
| Street Address |
637 LUCAS AVE STE 205 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 1578011805 | Robert Maurice Carlton | Obstetrics & Gynecology | 1301 Warner Ave, Los Angeles, CA 90024-5125 | 2016-09-15 |
| 1346698628 | Leah Marsh | Obstetrics & Gynecology | Ucla Department of Ob/gyn 10833 Le Conte Ave 27-139 Chs, Los Angeles, CA 90095-1804 | 2016-05-27 |
| 1679927354 | Christina Tabit Evans | Obstetrics & Gynecology | 8315 Gonzaga Ave, Los Angeles, CA 90045-2577 | 2016-04-19 |
| 1831553544 | Sara Hatlen | Obstetrics & Gynecology | File 50978, Los Angeles, CA 90074-2004 | 2016-04-08 |
| 1477915601 | Xiaoyue Mona Guo | Obstetrics & Gynecology | 2020 Zonal Ave Ste 220, Los Angeles, CA 90089-2914 | 2016-03-26 |
| 1366814204 | Kristin Louie | Obstetrics & Gynecology | 1200 N State St # C3f-107, Los Angeles, CA 90033-1029 | 2015-10-29 |
| 1760879431 | Madison Sternberg | Obstetrics & Gynecology | 1701 E Cesar E Chavez Ave Ste 225, Los Angeles, CA 90033-2496 | 2015-04-21 |
| 1083000657 | Lydia Ning Lo | Obstetrics & Gynecology | 757 Westwood Plaza, Room B-711, Ucla Ob/gyn, Los Angeles, CA 90095-0001 | 2015-04-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on S PINE A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.