DR. MARK EVAN JAFFE (NPI# 1477763472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477763472 |
| Entity Type | Individual |
| Full Name | DR. MARK EVAN JAFFE |
| Credential | M.D. |
| Practice Address |
9201 W Sunset Blvd Suite #718 West Hollywood CA 90069-3701 |
| Mailing Address |
Po Box 49658 Los Angeles CA 90049-0658 |
| Practice Telephone | 3104867554 |
| Practice Fax Number | 3108261163 |
| Mailing Telephone | 3104867554 |
| Mailing Fax Number | 3108261163 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G75071 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730160615 | Mark Jaffe | Internal Medicine | 9900 Stirling Rd Ste 102, Hollywood, FL 33024-8043 | 2005-11-08 |
| 1093717373 | Mark Lawrence Jaffe | Optometrist | 6666 W Peoria Ave, Ste 109, Glendale, AZ 85302-7032 | 2005-06-01 |
| 1710980982 | Mark A Jaffe | Podiatrist | 15050 W. Tetherclift Street, Davie, FL 33331 | 2005-05-23 |
| 1609205558 | Mark H Jaffe | Dentist | 375 S Washington Ave, Bergenfield, NJ 07621-4323 | 2013-11-01 |
| 1629089107 | Mark Jonathan Jaffe | Dermatology | 6410 Rockledge Drive, Suite 402, Bethesda, MD 20817 | 2006-08-10 |
| 1588687891 | Mark H Jaffe | Radiology | 119 Oakfield Dr, Brandon, FL 33511-5779 | 2006-07-26 |
| 1841271160 | Mark Robert Jaffe | Specialist | 5744 Lbj Fwy, Suite 180, Dallas, TX 75240-6322 | 2005-11-14 |
| Street Address |
9201 W SUNSET BLVD SUITE #718 |
| City | WEST HOLLYWOOD |
| State | CA |
| Zip Code | 90069-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295730604 | Mehmet C Pekerol Md A Professional Corporation | Internal Medicine | 9201 W Sunset Blvd, Ste 616, West Hollywood, CA 90069-3701 | 2005-06-14 |
| 1487197711 | Trong Nguyen | Physical Therapist | 9201 W Sunset Blvd, M120, West Hollywood, CA 90069-3701 | 2016-11-17 |
| 1700233913 | Paul Keri | Physical Therapist | 9201 W Sunset Blvd, West Hollywood, CA 90069-3701 | 2016-05-17 |
| 1336596543 | Matthew Speciale | Physical Therapist | 9201 W Sunset Blvd, M120, West Hollywood, CA 90069-3701 | 2016-05-17 |
| 1538529177 | Sunset Walk-in Healthcare and Occupational Medicine Clinic, PC | Clinic/Center | 9201 W Sunset Blvd, M155, West Hollywood, CA 90069-3701 | 2016-02-24 |
| 1346634490 | Canan Kfier Asher | Physical Therapist | 9201 W Sunset Blvd, M120, West Hollywood, CA 90069-3701 | 2015-03-26 |
| 1346647658 | Justin Kwai | Physical Therapist | 9201 W Sunset Blvd, M12, West Hollywood, CA 90069-3701 | 2014-12-02 |
| 1497172043 | Anthony Martin Mills M D A Medical Corporation | Internal Medicine | 9201 W Sunset Blvd, 812, West Hollywood, CA 90069-3701 | 2014-03-20 |
| 1457785511 | Beverly Sunset Surgical Associates, LLC | Clinic/Center | 9201 W Sunset Blvd, Suite 202, West Hollywood, CA 90069-3701 | 2013-08-26 |
| 1306280243 | Johanna Alexandra Szin | Physical Therapist | 9201 W Sunset Blvd, Ste M120, West Hollywood, CA 90069-3701 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620188 | Schewitz Psychological Services Inc | Counselor | 722 North Orlando Avenue, #109, West Hollywood, CA 90069 | 2020-02-05 |
| 1083259840 | Remedy Place Physicians | Plastic Surgery | 8305 Sunset Blvd, Los Angeles, CA 90069 | 2019-11-15 |
| 1922527894 | Hansol | Acupuncturist | 9210 Sunset Blvd #212, Los Angeles, CA 90069 | 2017-09-12 |
| 1982121026 | Karen A Robinson | Dental Hygienist | 1264 N. Kings Rd, #14, West Hollywood, CA 90069 | 2017-08-29 |
| 1851844237 | Anna Mcmaster | Physical Therapist | 1201 Larrabee St Apt 205, West Hollywood, CA 90069 | 2016-08-02 |
| 1730565136 | Brittany Giraud | Nurse Practitioner | 8570 W. Sunset Blvd Suite 1.5, West Hollywood, CA 90069 | 2015-08-07 |
| 1124454962 | Twin Town Corporation | Clinic/Center | 8739 Santa Monica Blvd., West Hollywood, CA 90069 | 2013-09-25 |
| 1609201417 | Jaclyn Jean Tolentino | Family Medicine | 8550 Santa Monica Blvd, 2nd Floor, West Hollywood, CA 90069 | 2013-09-11 |
| 1992144489 | Virginia Denise Hall | Nurse Practitioner | 8570 W Sunset Blvd Ste 1.5, West Hollywood, CA 90069 | 2013-06-18 |
| 1518305473 | Amedco California Inc. | Optometrist | 8624 Sunset Blvd., The Eye Gallery - La, West Hollywood, CA 90069 | 2013-06-12 |
| Find all providers in zip 90069 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316586522 | Peter Robin Kimmel | Psychiatry & Neurology | 9050 Broadway Ter, Oakland, CA 94611-1952 | 2020-01-06 |
| 1437546355 | Gilbert W Kliman | Psychiatry & Neurology | 573 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2015-04-17 |
| 1427378389 | Michel Ross Mandel | Psychiatry & Neurology | 1828 South St, Redding, CA 96001-1809 | 2010-06-02 |
| 1013237064 | Artha Gillis | Psychiatry & Neurology | 760 Westwood Plz Rm C8-193, Los Angeles, CA 90024-5055 | 2010-06-01 |
| 1942538343 | Alex Sahba Md, A Medical Corp | Psychiatry & Neurology | 2355 Westwood Blvd # 129, Los Angeles, CA 90064-2109 | 2009-11-23 |
| 1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
| 1689803884 | Albert Shnaider | Psychiatry & Neurology | 5833 Cahill Ave, Tarzana, CA 91356-1205 | 2009-07-08 |
| 1538309745 | David J Sheffner | Psychiatry & Neurology | 320 Superior Ave Ste 330, Newport Beach, CA 92663-2772 | 2009-02-27 |
| 1710123112 | Kenneth I. Gottlieb, M.d. A Professional Corporation | Psychiatry & Neurology | 909 Hyde St Ste 430, San Francisco, CA 94109-4846 | 2009-01-06 |
| 1700035367 | Todd Stuart Elwyn | Psychiatry & Neurology | 1000 Marina Boulevard, Suite 100, Brisbane, CA 94005-1839 | 2008-09-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST HOLLYWOOD |
| Zip Code | 90069 |
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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.