JACK DITLOVE (NPI# 1417961186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417961186 |
| Entity Type | Individual |
| Full Name | JACK DITLOVE |
| Credential | M.D. |
| Practice Address |
250 N Robertson Blvd Ste 501 Beverly Hills CA 90211-1770 |
| Practice Telephone | 3102740200 |
| Practice Fax Number | 3102740204 |
| Mailing Telephone | 3102740200 |
| Mailing Fax Number | 3102740204 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
G25418 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
250 N ROBERTSON BLVD STE 501 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-1770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336514546 | Samy Sharobeem, Md Inc | Internal Medicine | 150 N Robertson Blvd Ste 150, Beverly Hills, CA 90211-2171 | 2015-12-14 |
| 1326305558 | Gregory Wayne Proctor | Internal Medicine | 414 N Camden Dr Ste 775, Beverly Hills, CA 90210-4540 | 2012-04-12 |
| 1356562730 | Jack Ditlove, Md | Internal Medicine | 435 N Roxbury Dr Ste 102, Beverly Hills, CA 90210-5003 | 2007-05-01 |
| 1396724902 | Bernard Salick | Internal Medicine | 9777 Wilshire Blvd, Ste 512, Beverly Hills, CA 90212-1905 | 2006-01-11 |
| 1639560501 | Medipace Beverly Hills Professional Corporation | Internal Medicine | 50 N La Cienega Blvd, Suite 310, Beverly Hills, CA 90211-2227 | 2015-02-12 |
| 1053628511 | Payman Vahedifar A Professional Medical Corporation | Internal Medicine | 240 S La Cienega Blvd, Suite 102, Beverly Hills, CA 90211-3324 | 2010-09-04 |
| 1457595217 | Singh Neurology Medical Associates Inc | Internal Medicine | 8920 Wilshire Blvd, Suite 520, Beverly Hills, CA 90211-2007 | 2009-04-23 |
| 1124264635 | Aviccenna Medical Group | Internal Medicine | 435 N Bedford Dr, Suite # 312, Beverly Hills, CA 90210-4321 | 2009-01-05 |
| 1861649931 | Keith L Klein Md Facp Fasn Inc | Internal Medicine | 8900 Wilshire Blvd, Suite 350, Beverly Hills, CA 90211-1958 | 2008-08-20 |
| 1407073596 | Beverly Hills Nephrology Medical Group | Internal Medicine | 435 N Bedford Dr, # 312, Beverly Hills, CA 90210-4321 | 2007-04-19 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
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| 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.