S PINE A MEDICAL CORPORATION


Address: 637 Lucas Ave Ste 205, Los Angeles, CA 90017-1912
Phone: 8187572235

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology C33483 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 1356352108 05

Office Location

Street Address 637 LUCAS AVE STE 205
City LOS ANGELES
State CA
Zip Code 90017-1912

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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
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City LOS ANGELES
Zip Code 90017

Improve Information

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Dataset Information

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.

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